FANNIE SHARIEE JOHNSON MEDICAL ASISSITANT NPI 1245491422

NPI Information

NPI: 1245491422
Provider Name: FANNIE SHARIEE JOHNSON, MEDICAL ASISSITANT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
19549 RANDOLPH PL
DENVER, CO
ZIP 80249
Phone: (720) 209-8897
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Fannie Shariee Johnson, MEDICAL ASISSITANT is an addiction (substance use disorder) counselor in Denver, CO. Fannie Shariee Johnson, MEDICAL ASISSITANT NPI is 1245491422. 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:

19549 RANDOLPH PL
DENVER, CO
ZIP 80249-609
Phone: (720) 209-8897

The enumeration date for this NPI number is 6/20/2008 and was last updated on 4/24/2023.

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	172V00000X	Community Health Worker				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0021128	COLORADO	Yes
3	164W00000X	Licensed Practical Nurse		0335945	COLORADO	No

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: 4/28/2024

NPI Synchronization or Removal

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