NPIMap

Individual provider Active NPI

Locienda Johnson, FNP-BC

  • Family Nurse Practitioner
  • Oak Hill, WV
National Provider Identifier
1629689484
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106987 Issued in WV
Practice address
497 Mall Rd
Oak Hill, WV 25901-6115
Phone
(304) 469-2905
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106987 WV Primary

Addresses

Primary practice location

497 Mall Rd
Oak Hill, WV 25901-6115

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Other practice location 1

2 Greyhound Lane
Smithers, WV 25186
Phone (304) 981-4983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007002336 WV Practitioner - Nurse Practitioner 1850710005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

315 Fairview Heights Rd
Summersville, WV 26651-1086
Phone (304) 469-2905

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Beckley, WV, CCN 517125
  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
106987WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Aug 23, 2021 Accepting new patients
New River Health Association, Inc. CurrentSince Oct 2, 2020 Accepting new patients
New River Health Association, Inc. CurrentSince May 4, 2021 Accepting new patients

Locations

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

315 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 647-3500

Interoperability endpoints

  • Direct secure messaging: loceinda.johnson.1@16450.direct.athenahealth.com

Organizations & group practices 22

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

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1629689484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016115",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Greyhound Lane",
            "address_purpose": "LOCATION",
            "city": "Smithers",
            "state": "WV",
            "postal_code": "25186",
            "country_code": "US",
            "telephone_number": "304-981-4983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LOCIENDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.