Ellen Brigman Johnson

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

FCL-016-007 Issued in NC

Practice address

107 Graham LN
Beaufort, NC 28516-9449

Phone

(252) 728-4422

Fax

(252) 728-7909

NPI assigned

Oct 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1760670533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRAHAM LN",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285169449",
            "telephone_number": "252-728-4422",
            "fax_number": "252-728-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GRAHAM LN",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285169449",
            "telephone_number": "252-728-4422",
            "fax_number": "252-728-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLEN",
        "middle_name": "BRIGMAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NC",
            "license": "FCL-016-007",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NC",
            "license": "FCL-016-011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804167",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804168",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Lee Hooper, D.C.
• Insight Optometric Services P a
• Insight Optometric Services PA
• Integrated Pain Solutions PLLC
• James J Crosswell Jr MD PA
• Jason Richard Kalivoda, PT, DPT
• Sherry Outland Kent, FNP
• Elizabeth Rich Key, PA-C
• Robin D Key, LCSW
• Douglas Lawrence Lamb, PA-C

• All providers in Beaufort, NC
• Chore Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.