Active NPI
Viviene Johnson, RN
- Community Health Clinic/Center
- St. Thomas, VI
National Provider Identifier
1689871303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- VI5457
- Practice address
- 9048 Sugar Estate
St. Thomas, VI 00802 - Phone
- (340) 777-8804
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | VI5457 | VI | Primary |
Addresses
Primary practice location
9048 Sugar Estate
St. Thomas, VI 00802
Mailing address
PO Box 10626
St Thomas, VI 00801-3626
Phone (340) 777-8804
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VI 5457 | Other | VI | RN |
| 2922302 | Other | FL | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VI5457 | VI | MD | Community Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689871303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10626",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008013626",
"telephone_number": "340-777-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9048 SUGAR ESTATE",
"city": "ST. THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-777-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VIVIENE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "VI",
"license": "VI5457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "VI 5457",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "2922302",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Thomas, VI
Sources for this page
- 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.