NPIMap

Organization Active NPI

Johnson State College

  • Student Health Clinic/Center
  • Johnson, VT
National Provider Identifier
1871719781
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
JOHNSON STATE COLLEGE
Practice address
337 College HL
Johnson, VT 05656-9741
Phone
(802) 635-1265
NPI assigned
Apr 18, 2007
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Jean Cass, NP
Title
Manager
Phone
(802) 635-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

337 College HL
Johnson, VT 05656-9741

Mailing address

337 College HL
Johnson, VT 05656-9741
Phone (802) 635-1265

National Provider Directory

National Provider Directory
Tax ID family
Johnson State College3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

337 College Hl
Johnson, VT 05656
Phone (802) 635-1265

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1871719781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 COLLEGE HL",
            "city": "JOHNSON",
            "state": "VT",
            "postal_code": "056569741",
            "telephone_number": "802-635-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 COLLEGE HL",
            "city": "JOHNSON",
            "state": "VT",
            "postal_code": "056569741",
            "telephone_number": "802-635-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON STATE COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "CASS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-635-1265",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.