MS. DIANA ELLEN JOHNSON APRN NPI 1336388032

NPI Information

NPI: 1336388032
Provider Name: MS. DIANA ELLEN JOHNSON, APRN
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
2 RACHEL LN
IVORYTON, CT
ZIP 06442
Phone: (860) 304-0469
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MS. Diana Ellen Johnson, APRN is a psychiatric/mental health and child and adolescent clinical nurse specialist in Ivoryton, CT. MS. Diana Ellen Johnson, APRN NPI is 1336388032. 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:

2 RACHEL LN
IVORYTON, CT
ZIP 06442-154
Phone: (860) 304-0469

The NPI 1336388032 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 2/19/2009.

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	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	002865	CONNECTICUT	Yes

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: 5/5/2024

NPI Synchronization or Removal

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