Active NPI
Johanna Abrahamson, CNA
- Nurse's Aide
- Rockford, IL
National Provider Identifier
1740793512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- 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, 2017
- 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 |
|---|---|---|---|---|
| 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.