AMANDA JOHNSON (NPI# 1487263422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487263422 |
Entity Type | Individual |
Full Name | AMANDA JOHNSON |
Practice Address |
1112 N Main Ave Erwin TN 37650-1508 |
Mailing Address |
Po Box 1258 Waynesboro TN 38485-1258 |
Practice Telephone | 4235606010 |
Mailing Telephone | 9312531110 |
Mailing Fax Number | 9317229919 |
Enumeration Date | 2020-07-27 |
Last Update Date | 2020-07-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
27757 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
1225589062 | Amanda Johnson | Behavioral Analyst | 10828 172nd St, Jamaica, NY 11433-3030 | 2016-10-17 |
Street Address |
1112 N MAIN AVE |
City | ERWIN |
State | TN |
Zip Code | 37650-1508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649889072 | Camellia Tweed | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
Find all providers in zip 37650 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912952508 | Cynthia Dawn Lee | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2006-05-23 |
1114922937 | Phyllis C Fisher | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2005-06-17 |
1649889072 | Camellia Tweed | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-31 |
1538781216 | Ashlee Whaley | Nurse Practitioner | 108 Gay St, Erwin, TN 37650-1228 | 2020-05-15 |
1477115707 | Amy Lamb Ennis | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2019-07-08 |
1336700889 | Laura Kay Berry | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2019-06-25 |
1366922205 | Whitley Jade Harrison | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2018-08-20 |
1437638129 | Kimberly Dawn Holtsclaw | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2018-08-13 |
1215369921 | Victoria Lynn Osborne | Nurse Practitioner | 105 Gay St, Erwin, TN 37650-1227 | 2013-08-05 |
1881967479 | David Dean Herman | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2012-02-14 |
Find all providers in ERWIN |
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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.