Active NPI
Ava C Johnson, NP
- Family Nurse Practitioner
- Chincoteague, VA
National Provider Identifier
1669635447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167876
- Practice address
- 4049 Main St
Chincoteague, VA 23336-2406 - Phone
- (757) 336-3682
- Fax
- (757) 336-3703
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167876 | VA | Primary |
Addresses
Primary practice location
4049 Main St
Chincoteague, VA 23336-2406
Mailing address
4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 336-3682
Other names 1
- Ava Jean Cole
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Community Health Services, Inc. | Current | Accepting new patients | |
| Metropolitan Community Health Services, Inc. | Current | Accepting new patients | |
| Metropolitan Community Health Services, Inc | Current | Accepting new patients | |
| Bayside Family Practice,L.L.C. | Past | Accepting new patients |
Locations
120 W Martin Luther King Jr Dr
Washington, NC 27889
Phone (252) 644-7003
120 W Martin Luther King Jr Dr
#J
Washington, NC 27889
Phone (252) 940-0602
Interoperability endpoints
- ajohnson365429@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, NC
- NPI 1366488280
-
- Orthopaedic Surgery Physician
- Williamston, NC
- NPI 1295515260
-
- Federally Qualified Health Center (FQHC)
- Washington, NC
- NPI 1891590444
-
- Family Medicine Physician
- Easton, MD
- NPI 1700068160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1669635447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 MAIN ST",
"city": "CHINCOTEAGUE",
"state": "VA",
"postal_code": "233362406",
"telephone_number": "757-336-3682",
"fax_number": "757-336-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4049 MAIN ST",
"city": "CHINCOTEAGUE",
"state": "VA",
"postal_code": "233362406",
"telephone_number": "757-336-3682",
"fax_number": "757-336-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AVA",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVA",
"last_name": "COLE",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chincoteague, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.