AMANDA F JOHNSON NP NPI 1083830137

NPI Information

NPI: 1083830137
Provider Name: AMANDA F JOHNSON, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
7990 ARCO CORPORATE DR STE 110
RALEIGH, NC
ZIP 27617
Phone: (919) 544-5900
Get Directions

Amanda F Johnson, NP is a pediatrics nurse practitioner in Raleigh, NC. Amanda F Johnson, NP NPI is 1083830137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7990 ARCO CORPORATE DR STE 110
RALEIGH, NC
ZIP 27617-030
Phone: (919) 544-5900
Fax: (919) 488-1455

The NPI 1083830137 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 9/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	158854	NORTH CAROLINA	No
2	363L00000X	Nurse Practitioner		158854	NORTH CAROLINA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	158854	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	158854	OTHER	NORTH CAROLINA	NURSING LICENSE
2	7004606	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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