Corri Johnston

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

467190 Issued in NY

Practice address

23 Huskie LN
Malone, NY 12953-2450

Phone

(518) 483-5230

NPI assigned

Oct 27, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Franklin-Essex-Hamilton Boces

  • Early Intervention Provider Agency
  • Malone, NY
  • NPI 1508006800
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1962954727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARION ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531403",
            "telephone_number": "518-483-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HUSKIE LN",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532450",
            "telephone_number": "518-483-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CORRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "467190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Jock
• Alex Johnson, PHARMACIST
• Alyson Johnson, PHARMD
• Judith Ann Johnson, R.D.H.
• Kelsey Johnson
• Kimberly Alison Johnston, RN
• Patrick M Johnston, PA
• Jonathan Lowell, M.D. P.C.
• Shai T Jones
• Stacy Danielle Jones, ATR-BC LCAT

• Developmentally Disabled Services Day Training Agency in Malone, NY
• Providers in Malone, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.