NPIMap

Organization Active NPI

Carole E Johnson, RN, CS, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Gaithersburg, MD
National Provider Identifier
1437285582
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R084348 Issued in MD
Legal business name
CAROLE E JOHNSON, RN, CS, LLC
Practice address
15 E Deer Park Dr
Suite 101B
Gaithersburg, MD 20877-2000
Phone
(301) 881-4884
Fax
(301) 740-3577
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Carole Elizabeth Johnson, RN, CSNPI 1285760330
Title
President
Phone
(301) 881-4884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X R084348 MD Primary

Addresses

Primary practice location

15 E Deer Park Dr
Suite 101B
Gaithersburg, MD 20877-2000

Mailing address

15 E Deer Park Dr
Suite 101B
Gaithersburg, MD 20877-2000
Phone (301) 881-4884

National Provider Directory

National Provider Directory

Locations

15 E Deer Park Dr
Ste 101B
Gaithersburg, MD 20877
Phone (301) 330-5565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1437285582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E DEER PARK DR",
            "address_2": "SUITE 101B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772000",
            "telephone_number": "301-881-4884",
            "fax_number": "301-740-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E DEER PARK DR",
            "address_2": "SUITE 101B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772000",
            "telephone_number": "301-881-4884",
            "fax_number": "301-740-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE E JOHNSON, RN, CS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-4884",
        "authorized_official_credential": "RN, CS"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R084348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.