Nicholas Bailey Johnson Carathers

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

847 NE 19TH Ave Ste 100
Portland, OR 97232

Phone

(032) 380-7695

NPI assigned

Feb 8, 2016

Last updated

May 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicholas Bailey Johnson Former name

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1942668736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459",
            "telephone_number": "503-238-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "032-380-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARATHERS",
        "first_name": "NICHOLAS",
        "middle_name": "BAILEY JOHNSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "JOHNSON",
            "middle_name": "BAILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Danielle Capurso, QMHP-C
• Helga D Caraballo, R.D., L.D., L.M.T.
• Joyce Caramella, RN
• Kristen Carangi, PHD
• Claudia Y Caratachea
• Caravan Counseling - Psychotherapy, LLC
• Linda Dee Caravia, LMT
• Consuelo Piedra Carbajal
• Kiesa Rene Carbin
• Carbon Health Medical Group of Florida PA

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.