Pamela Johnson, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

041185114 Issued in IL

Practice address

11191 Illinois Route 185
Hillsboro, IL 62049-2664

Phone

(217) 532-2001

Fax

(217) 532-6361

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pamela Cassidy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1417205964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 ILLINOIS ROUTE 185",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620492664",
            "telephone_number": "217-532-2001",
            "fax_number": "217-532-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11191 ILLINOIS ROUTE 185",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620492664",
            "telephone_number": "217-532-2001",
            "fax_number": "217-532-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041185114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CASSIDY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Ingles, LMT
• J D Pharmacy Inc
• Lorinda Lee Jennings, MS, CCC-SLP
• Douglas W Johnson, OD
• Eric Johnson, OD
• Rhonda Joyce
• Francis Felix Kayira, MD
• Nathan Kirby, OD
• Pamela Jean Kotschevar, D.C.
• Angela Nicole Legendre, OT

• Psychiatric/Mental Health Registered Nurse in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.