Sandra Deniece Johnson
Individual provider Active NPI Personal Care Attendant · Soldotna, AK
NPI 1962019786 · NPPES record last updated Sep 25, 2020
Key facts
- NPI
- 1962019786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- 1584304 (AK)
- Practice address
- 44661 Sterling Hwy Ste a
Soldotna, AK 99669-7900 - Phone
- (907) 929-5826
- Fax
- (907) 420-0530
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1584304 | AK | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 1584304 | AK | Yes |
Addresses
Primary practice location
44661 Sterling Hwy Ste a
Soldotna, AK 99669-7900
Mailing address
44661 Sterling Hwy Ste a
Soldotna, AK 99669-7900
Phone (907) 929-5826
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1584304 | Medicaid | AK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Heartsandhandsofcare.com | Direct |
Other providers in Soldotna, AK
- Bruce David Johnson
- Carol Johnson
- Carol A Johnson
- Heather Johnson
- Julie L Johnson
- Tara Johnson
- Stephen G Jolley
- Cory Deon Jones
- Darla Jones
- Kylie B Jones
All providers in Soldotna, AK · Personal Care Attendant in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.