Individual provider Active NPI

Johanna Abrahamson, CNA

  • Nurse's Aide
  • Rockford, IL
National Provider Identifier
1740793512
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
363 Financial CT
Rockford, IL 61107-6671
Phone
(815) 222-7405
Fax
(815) 222-7405
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X IL Primary

Addresses

Primary practice location

363 Financial CT
Rockford, IL 61107-6671

Mailing address

1337 Red Oak LN
Rockford, IL 61107-2770
Phone (815) 990-6657

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

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1740793512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 RED OAK LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072770",
            "telephone_number": "815-990-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FINANCIAL CT",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076671",
            "telephone_number": "815-222-7405",
            "fax_number": "815-222-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "JOHANNA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.