Active NPI
Amy Susan Johnson, N.D.
- Naturopath
- Hamden, CT
National Provider Identifier
1912138025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 000390
- Practice address
- 3018 Dixwell Ave Ste 3
Hamden, CT 06518-3508 - Phone
- (203) 747-8080
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 000390 | CT | Primary |
Addresses
Primary practice location
3018 Dixwell Ave Ste 3
Hamden, CT 06518-3508
Mailing address
208 Mountain Rd
Cheshire, CT 06410-2605
Phone (203) 525-6829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000390 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1912138025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MOUNTAIN RD",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102605",
"telephone_number": "203-525-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 DIXWELL AVE STE 3",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183508",
"telephone_number": "203-747-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMY",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "000390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.