Jane Wagema-Johnson

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

242191 Issued in MA

Legal business name

JANE WAGEMA-JOHNSON

Practice address

39 Lauren Way
Lowell, MA 01854-1484

Phone

(978) 455-3547

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jane Wagema-Johnson, NP

Title

Gerontological Nurse Practioner

Phone

(978) 455-3547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1780941989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LAUREN WAY",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541484",
            "telephone_number": "978-455-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LAUREN WAY",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541484",
            "telephone_number": "978-455-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE WAGEMA-JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "WAGEMA-JOHNSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "GERONTOLOGICAL NURSE PRACTIONER",
        "authorized_official_telephone_number": "978-455-3547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MA",
            "license": "242191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inpatient Hospice in Lowell, MA
• Providers in Lowell, MA by specialty
• Inpatient Hospice in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.