Pamela Fay Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN091552 Issued in OH

Practice address

44328 Lafferty Rd
Saint Clairsville, OH 43950-9791

Phone

(740) 968-0068

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By 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 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538289442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44328 LAFFERTY RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509791",
            "telephone_number": "740-968-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44328 LAFFERTY RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509791",
            "telephone_number": "740-968-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "FAY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN091552",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN275454",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "22696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV NURSING LICENSE",
            "identifier": "22696",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IP NUMBER",
            "identifier": "2189224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "PN091552",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA NURSING LICENSE",
            "identifier": "PN275454",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jenkins, RDN
• Jill Saner Lisw LLC
• Jobeth Rollandini, DPM, LLC
• John N. Pokas, O.D. & Associates
• Ann Johnson, CTRS
• Sarah Johnson
• Joint Implant Surgeons, Inc
• Alicia K Jones, QMHS-B
• Emily Elizabeth Jones
• Kendra Leanne Jones

• Licensed Practical Nurse in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.