VISTINA METTS JOHNSON NPI 1407484041

NPI Information

NPI: 1407484041
Provider Name: VISTINA METTS JOHNSON
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

PECOS Registration: Yes

Address:
3 RICHLAND MEDICAL PARK DR STE 510
COLUMBIA, SC
ZIP 29203
Phone: (803) 296-2726
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Vistina Metts Johnson is a gerontology nurse practitioner in Columbia, SC with 5 years of experience. Vistina Metts Johnson NPI is 1407484041. 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:

3 RICHLAND MEDICAL PARK DR STE 510
COLUMBIA, SC
ZIP 29203-854
Phone: (803) 296-2726
Fax: (803) 296-3319

The NPI 1407484041 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 3/30/2020 and was last updated on 7/20/2021.

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	363LG0600X	Nurse Practitioner	Gerontology	23734	SOUTH CAROLINA	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: 11/14/2023

NPI Synchronization or Removal

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