Johanna Laurel Chua
Individual provider Active NPI Physician Assistant · Hampton, NH
NPI 1477018604 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1477018604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1451 (NH)
- Practice address
- 55 High St Ste 201
Hampton, NH 03842-2213 - Phone
- (603) 929-2137
- NPI assigned
- Feb 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appledore Medical Group Inc
Practice addresses (Care Compare)
330 Borthwick Ave
Suite 201
Portsmouth, NH 03801-4102
Phone (603) 436-6638
330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242
55 High St
Hampton, NH 03842-2213
Phone (603) 436-5110
Hospital & facility affiliations
- Amedisys Home Health
- Northeast Professional Registry of Nurses, Inc.
- Portsmouth Regional Hospital
- Exeter Hospital Inc
- Anna Jaques Hospital
- Wentworth-Douglass Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190430000353 | NH | Practitioner - Physician Assistant | 6901148618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1451 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group Dba Woodbury Family Practice | Current |
Accepting new patients | |
| Appledore Medical Group, Inc | Current |
Accepting new patients |
Locations
55 High St
Ste 201
Hampton, NH 03842
Phone (603) 436-6638
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- johanna.king@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1451 | NH | Yes |
Addresses
Primary practice location
55 High St Ste 201
Hampton, NH 03842-2213
Mailing address
55 High St Ste 201
Hampton, NH 03842-2213
Phone (603) 929-2137
Other names
- Johanna Laurel King
Other providers in Hampton, NH
- Emily A Carabello
- Brenda L. Caron
- Nicole M Carville
- Dylan J Chisholm
- Jennifer Christiansen
- Madeline M Cicatelli
- Camelia Ciobanu
- Brooke Cloutier
- Coastal Therapy Services, LLC
- Coastal Therapy Services, LLC
All providers in Hampton, NH · Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.