William Howard Johnson, RN, CCRC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN234385L Issued in PA

Practice address

2626 Acorn Dr
Lake City, PA 16423-2610

Phone

(814) 774-3376

NPI assigned

May 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1720245145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 ACORN DRIVE",
            "city": "LAKE CITY",
            "state": "PA",
            "postal_code": "164232610",
            "telephone_number": "814-774-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 ACORN DR",
            "city": "LAKE CITY",
            "state": "PA",
            "postal_code": "164232610",
            "telephone_number": "814-774-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "RN, CCRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN234385L",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001116850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Elaine Bishop, MD
• Colette L Bone, LPC
• Girard School District
• David Godoy, RD
• Erin Lynn Hoeksema, OTR/L
• Lake City Fire Company
• Amy McCall, MS OTR/L
• John Edward Miceli, D.M.D.
• Jillian Marie Rhoades, LCSW
• Charles William Terpilowski III

• Registered Nurse in Lake City, PA
• Providers in Lake City, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.