Carl Eugene Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5464 Issued in AK

Practice address

1867 Airport Way
Suite 215
Fairbanks, AK 99701-4062

Phone

(907) 456-1434

Fax

(907) 456-1481

NPI assigned

Sep 5, 2007

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Wind Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairbanks, AK
  • NPI 1376981696
  NPD (past) Authorized official

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1831383520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 215",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014062",
            "telephone_number": "907-456-1434",
            "fax_number": "907-456-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 215",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014062",
            "telephone_number": "907-456-1434",
            "fax_number": "907-456-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARL",
        "middle_name": "EUGENE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Johnson
• Angelika Johnson
• Anne Karnik Johnson, R.PH.
• Benjamin Douglas Johnson, PA-C, R.T. (R)
• Bridget Anne Johnson, PA-C
• Cathy Jean Johnson, RN, APRN
• Christine Lynne Johnson, CDC1
• Daniel Johnson
• Daniel R Johnson, D.O.
• Dustin Johnson

• Licensed Practical Nurse in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.