Amara Johnson
Individual provider Active NPI Community Health Worker · Rainelle, WV
NPI 1780465906 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1780465906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 115 Hill St
Rainelle, WV 25962-1475 - Phone
- (440) 785-5881
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
115 Hill St
Rainelle, WV 25962-1475
Mailing address
115 Hill St
Rainelle, WV 25962-1475
Phone (440) 785-5881
Other providers in Rainelle, WV
- Brittany Hedrick
- Holly Anne Hendrix
- Tayler Nicole Hiser
- Karen Hoblitzell
- Carrie E Jarrell
- Jordyn Johnson
- Kevin Johnson
- Erin Justice
- Tearsa R. Keatley
- Cheri Keener
All providers in Rainelle, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.