CHRISTOPHER JOHNSON (NPI# 1912506098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912506098 |
Entity Type | Individual |
Full Name | CHRISTOPHER JOHNSON |
Practice Address |
591 S Knik Goose Bay Rd Wasilla AK 99654-8062 |
Practice Telephone | 9073131333 |
Mailing Telephone | 9073131333 |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1419 S Kittiwake St, Wasilla, AK 996239302 | 9073131333 | |
545 S Knik Goose Bay Rd Ofc, Wasilla, AK 996548171 | 9073133133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558993022 | Christopher Brian Johnson | Physical Therapy Assistant | 4198 Ouray St, Colorado City, CO 81019 | 2020-02-12 |
1437619210 | Christopher Lee Johnson | Behavioral Analyst | 1947 Larkspur Apt 1007, San Antonio, TX 78213-4948 | 2019-03-20 |
1275097917 | Christopher F Johnson Jr. | Specialist/Technologist | 403 Greenbriar Dr Apt 214, Normal, IL 61761-6221 | 2019-01-28 |
1568936227 | Christopher Harrell Johnson | Licensed Vocational Nurse | 3001 Buddie St, Tyler, TX 75701-0605 | 2019-01-16 |
1164917332 | Christopher Rolf Johnson | Student in an Organized Health Care Education/Training Program | 444 S. San Vicente Blvd. Suite 603, Los Angeles, CA 90048-1804 | 2018-06-28 |
1407375488 | Christopher Johnson | Military Health Care Provider | 3170 Bebas Ln, San Diego, CA 92123-2046 | 2017-09-11 |
1861800542 | Christopher Johnson | Physical Therapist | 4215 Yanceyville Rd, Apt C, Browns Summit, NC 27214-9040 | 2014-07-26 |
1184035610 | Christopher Robert Johnson | Student in an Organized Health Care Education/Training Program | 37 Marcella St, Boston, MA 02119-1217 | 2014-05-19 |
1376849315 | Christopher Todd Johnson | Registered Nurse | 82073 190th St, Hayward, MN 56043-4081 | 2011-02-09 |
1952604886 | Christopher Johnson | Behavioral Analyst | 2709 Mustang Trl, Edmond, OK 73012-6674 | 2010-12-15 |
Street Address |
591 S KNIK GOOSE BAY RD |
City | WASILLA |
State | AK |
Zip Code | 99654-8062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558806604 | Brandy Stevens | Counselor | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2016-12-28 |
1003420183 | Brittany Lynne Russell | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-09-04 |
1518578020 | Holly A Hoff | Counselor | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-08-10 |
1508476268 | Kenneth Dwayne Neill | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-08-06 |
1114544152 | Johnathan Skoog | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-06-25 |
1427673425 | Hannah Rogers | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-06-15 |
1114542677 | Anne Benson | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-06-10 |
1942829460 | True North Recovery Inc. | Substance Abuse Rehabilitation Facility | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-04-14 |
1912530197 | Sean Morton | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-02-17 |
1568093078 | Leslie Gail Sharpe | Case Manager/Care Coordinator | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-02-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
Find all providers in zip 99654 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215552526 | Joshua Dee Engle | Peer Specialist | 1419 S Kittiwake St, Wasilla, AK 99623-9302 | 2020-06-11 |
1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
1104449800 | Aubrey Danielle Cave | Peer Specialist | 5752 W Kranberry Ln, Wasilla, AK 99623-1050 | 2020-05-28 |
1629610563 | Mikko Joseph Barribeau | Peer Specialist | 2762 N Azurite Cir, Wasilla, AK 99654-4540 | 2019-10-11 |
1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
1497353874 | Brianne Jean Bird | Peer Specialist | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-16 |
1003420183 | Brittany Lynne Russell | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-09-04 |
1124632419 | Sydney Grisham | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-09-03 |
1508476268 | Kenneth Dwayne Neill | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-08-06 |
Find all providers in WASILLA |
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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.