MARY JOHNSON (NPI# 1467667956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467667956 |
| Entity Type | Individual |
| Full Name | MARY JOHNSON |
| Practice Address |
700 Chief Eddie Hoffman Highway Bethel AK 99559-0287 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436300 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CM#3161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
700 CHIEF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-0287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928627 | Matthew Todd Warren | Radiology | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-11-03 |
| 1043843683 | Alicia Paula Koffi | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-02-21 |
| 1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
| 1619330230 | Amber Leigh Colvin | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2016-03-31 |
| 1073970745 | Jeremiah Lee Britton | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Diabetes Prevention and Control Attn: Jeremiah Britton, Bethel, AK 99559 | 2016-01-26 |
| 1528434016 | Michelle M Carl | Technician, Other | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0700 | 2015-08-19 |
| 1184026908 | Agnes Changsak | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-09-24 |
| 1801201611 | Virginia Lozano | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-07-01 |
| 1699188581 | Ernest Phillip | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2014-06-09 |
| 1467875120 | Beverly Wulf | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972059608 | Penny Boyd | Contractor | 12781 St Rt 774, Bethel, OH 45106 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882087 | Sarah Moreau | Contractor | 5372 E Hart Lake Loop, Wasilla, AK 99654-9356 | 2020-05-07 |
| 1689127490 | Independent Intelligence LLC | Contractor | 401 Dailey Ave Apt 3, Anchorage, AK 99515-3484 | 2016-07-27 |
| 1609227669 | Anna(pili) Goddard-vaughan | Contractor | 3600 Lake Otis Pkwy Ste 205, Anchorage, AK 99508-5225 | 2016-06-30 |
| 1285090928 | Lorraine Schroeder | Contractor | 3710 Woodland Dr Ste 1500, Anchorage, AK 99517-2590 | 2016-01-11 |
| 1629440540 | Driftwood Construction | Contractor | First and Jones Street, Kasaan, AK 99950-0340 | 2015-10-30 |
| 1083095939 | Corrie Turnbull | Contractor | 4305 Hayes St Unit A, Anchorage, AK 99503-6445 | 2015-06-17 |
| 1558758110 | Lauren Learned | Contractor | 16125 E. Virginia St., Palmer, AK 99645 | 2015-04-22 |
| 1568855690 | Michael Sheets | Contractor | Block 6 Lot 6 Dungeness Drive, Naukati Bay, AK 99950 | 2015-03-13 |
| 1376966382 | Carol Frances Disalvi | Contractor | 959 Norman St, Anchorage, AK 99504-1617 | 2014-01-27 |
| 1497028526 | Phillip D. Courtney | Contractor | 18708 Sue Tawn Drive, Chugiak, AK 99567 | 2012-02-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.