Molly Johnson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4632P Issued in KY

Practice address

1408 Campbell Dr
Ironton, OH 45638-2301

Phone

(740) 534-9195

Fax

(740) 534-9327

NPI assigned

Jul 6, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ironton & Lawrence County Area Community Action Organization

  dba Ironton Health Care Campus

  • Federally Qualified Health Center (FQHC)
  • Ironton, OH
  • NPI 1093022287
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Chesapeake Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chesapeake, OH
  • NPI 1215014113
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Aid Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Kitts Hill, OH
  • NPI 1770839276
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Proctorville Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Proctorville, OH
  • NPI 1912254574
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Nancy's Place

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1306461694
  NPD
• Ironton & Lawrence County Area Community Action Organization

  dba One Stop Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Ironton, OH
  • NPI 1588151872
  NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437181104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-534-9195",
            "fax_number": "740-534-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10777 County Road 107",
            "address_purpose": "LOCATION",
            "city": "Proctorville",
            "state": "OH",
            "postal_code": "456698130",
            "country_code": "US",
            "telephone_number": "740-302-0541",
            "fax_number": "740-886-0255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401384",
            "country_code": "US",
            "telephone_number": "606-789-5541",
            "fax_number": "606-789-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MOLLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4632P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000380503",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2830119",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015401",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437181104",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000609842",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace R Johnson, CDCA
• Erin Page Johnson
• Evelyn Ann Johnson
• James Johnson
• Kristie Johnson, CNP
• Rachel Johnson
• Rebekah Johnson, APRN
• Teresa Johnson, APS.005865
• Vanna Jade Johnson, CDCA
• Lanie Joe Johnston

• Nurse Practitioner in Ironton, OH
• Providers in Ironton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.