Active NPI
Amanda Danielle Johnson
- Nurse's Aide
- Monroe, OH
National Provider Identifier
1962883017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401371460412
- Practice address
- 161 Wyndcrest CT
B
Monroe, OH 45050-1791 - Phone
- (513) 620-9546
- NPI assigned
- Jun 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 401371460412 | OH | MD | Nurse's Aide |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401371460412 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
161 Wyndcrest CT
B
Monroe, OH 45050-1791
Mailing address
161 Wyndcrest CT
B
Monroe, OH 45050-1791
Phone (513) 620-9546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2015.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1962883017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WYNDCREST CT",
"address_2": "B",
"city": "MONROE",
"state": "OH",
"postal_code": "450501791",
"telephone_number": "513-620-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WYNDCREST CT",
"address_2": "B",
"city": "MONROE",
"state": "OH",
"postal_code": "450501791",
"telephone_number": "513-620-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMANDA",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401371460412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.