VICTORIA W JOHNSON


Address: 403 N State of Franklin Rd, Johnson City, TN 37604
Phone: 4234317042

VICTORIA W JOHNSON (NPI# 1770079675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770079675
Entity Type Individual
Full Name VICTORIA W JOHNSON
Other Name VICTORIA P WHITE
Credential PA-C
Practice Address 403 N State of Franklin Rd
Johnson City
TN 37604
Mailing Address 403 N State of Franklin Rd
Johnson City
TN 37604-6034
Practice Telephone 4234317042
Practice Fax Number 4234319042
Mailing Telephone 4234317042
Enumeration Date 2018-07-03
Last Update Date 2020-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3679 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN STATE LICENSES 3679 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 Med Tech Pkwy Ste 240, Johnson City, TN 376042641 4237945520 4232826940

Other Providers VICTORIA JOHNSON

NPI Name Taxonomy Address Enumeration
1629686258 Victoria Lynn Johnson Social Worker 1936 N Clark St Apt 219, Chicago, IL 60614-5436 2020-07-20
1528690658 Victoria Mae Johnson Clinic/Center 400 Ne 177th St, North Miami Beach, FL 33162-1914 2020-02-06
1922527662 Victoria Johnson Licensed Practical Nurse 6166 Plains Drive, Lake Worth, FL 33463 2017-09-13
1346766862 Victoria Johnson Behavioral Analyst 107 Mcmillan Rd, West Monroe, LA 71291-5319 2017-08-16
1235582958 Victoria Johnson Emergency Medical Technician, Basic 300 W Woodyard Ave, Ridge Farm, IL 61870-9467 2016-07-18
1396197562 Victoria Danielle Johnson Registered Nurse 1126 Silverwood Dr, #215, Arlington, TX 76006-7020 2016-07-12
1023460391 Victoria Johnson Technician, Other 9576 Columbia, Redford, MI 48239-2306 2016-07-11
1134591282 Victoria Johnson Counselor 6801 Despot Rd, Shreveport, LA 71108 2015-10-28
1629457080 Victoria Johnson Occupational Therapist 1241 Gresham Rd, Columbus, OH 43204-2248 2015-05-19
1376978650 Victoria Johnson Occupational Therapist 11012 S Freya Rd, Spokane, WA 99223-9418 2013-09-05

Office Location

Street Address 403 N STATE OF FRANKLIN RD
City JOHNSON CITY
State TN
Zip Code 37604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013998004 Rakeshkumar Bhagwandas Patel Internal Medicine 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2005-11-08
1962016162 Paul Gilley Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2020-09-04
1215575832 Jeffrey Wayne Margeson Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2019-12-13
1942847694 Haley Elizabeth Elliott Registered Nurse 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2019-12-02
1881124139 Preston Fhorest Helmly Student in an Organized Health Care Education/Training Program 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2017-06-19
1902330269 Katherine Mae Astaneh Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2017-04-13
1962857862 Stevenson Wayne Howard Psychiatry & Neurology 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2016-04-28
1902213275 Jasmine Michelle Love Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2014-07-17
1093120222 Blue Ridge Medical Management Corporation Psychiatry & Neurology 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2014-06-26
1841619582 Kathleen Ann Seaton Psychiatry & Neurology 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2014-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821616590 Brenda L Rankhorn Physician Assistant 402 Brookwood Dr, Johnson City, TN 37615-4924 2020-07-09
1336706183 Andrew Thomas Rogers Physician Assistant 401 E Watauga Ave, Johnson City, TN 37601-4036 2019-05-28
1750859831 Bethany Marie Zakrzewski Physician Assistant 410 N State of Franklin Rd Ste 120, Johnson City, TN 37604-6972 2018-11-07
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1417453440 Blue Ridge Medical Management Corpoartion Physician Assistant 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 2018-03-30
1083082838 Amber Dykes Physician Assistant 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615-8000 2015-09-10
1720336712 Amy C Flint Physician Assistant 303 Med Tech Pkwy Ste 150, Johnson City, TN 37604-2394 2012-08-22
1568779155 Tracy Mcwhorter Martino Physician Assistant 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 2010-09-03
1932430741 Lisa M Adams Physician Assistant 1301 Sunset Drive, Suite 3, Johnson City, TN 37604 2010-01-18
1265594618 Whitney Diane Davis Physician Assistant 2514 Wesley St Ste 102, Johnson City, TN 37601-1764 2006-12-14
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Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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