Angela Patrice Johnson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3509 Plaza Ridge Cir Apt 14B
Winston Salem, NC 27107-2774

Phone

(336) 239-1561

NPI assigned

Jun 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1922624477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 PLAZA RIDGE CIR APT 14B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072774",
            "telephone_number": "336-239-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 PLAZA RIDGE CIR APT 14B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072774",
            "telephone_number": "336-239-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hearts.compassionate@gmail.com",
            "affiliation": "N",
            "address_1": "3509 Plaza Ridge Cir Apt 14B",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271072774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Barrett Johnson, M.D.
• Adam Gregory Johnson, M.D.
• Alleta Selene Johnson, BCBA
• Amanda L Johnson, OTR/L
• Amanda Marie Johnson, CRNA
• Brandi Alexandria Johnson, CRNA
• Carrie Elizabeth Johnson, M.D., PH.D.
• Charles Anderson Johnson, MD
• Chaunice Saundra Johnson, DDS
• Christina Elisabeth Johnson, PA

• Community Health Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.