Nichole Johnson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

597 Jake Hill Rd
Upper Tract, WV 26866-8520

Phone

(304) 668-9264

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1831001999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 JAKE HILL RD",
            "city": "UPPER TRACT",
            "state": "WV",
            "postal_code": "268668520",
            "telephone_number": "304-668-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 JAKE HILL RD",
            "city": "UPPER TRACT",
            "state": "WV",
            "postal_code": "268668520",
            "telephone_number": "304-668-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Cook
• Alexis Sherene Evans, J.D.
• Anita Harper
• Barbara Heavner
• Angela Hottinger
• Mary S Kimble
• Christopher Stephen Mallow, DDS
• Siera Mallow, DDS
• Stephen C Mallow, DDS
• Teresa Mowery

• Community Health Worker in Upper Tract, WV
• Providers in Upper Tract, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.