Chanda Johnson

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

PN.159320.M-IV Issued in OH

Practice address

209 Newman Rd
Waverly, OH 45690-9500

Phone

(740) 648-9900

NPI assigned

Jun 26, 2015

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1881076743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NEWMAN RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909500",
            "telephone_number": "740-648-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NEWMAN RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909500",
            "telephone_number": "740-648-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "OH",
            "license": "PN.159320.M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail E Ison, PHARMD
• Brandy Jackson
• Anne L Jeffcott, CRNP
• Megan B Jewell, PA-C
• Carie Lynn Johnson, APRN, NP-C
• John Liam Johnson, RPH
• Pamela Johnson, M.ED.,PCC-S
• Tabitha S Johnson, RN
• Terry A Johnson, D.O.
• Brenda Jones

• Clinical Nurse Specialist in Waverly, OH
• Providers in Waverly, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.