AMELIA MARIE JOHNSON NPP NPI 1720574940

NPI Information

  • NPI: 1720574940
  • Provider Name: AMELIA MARIE JOHNSON, NPP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 135 NORTH ROAD
    WILTON FAMILY MEDICINE
    WILTON, NY
    ZIP 12831
  • Phone: (518) 926-1935

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NPI Details

Amelia Marie Johnson, NPP is a psychiatric/mental health nurse practitioner in Wilton, NY with 8 years of experience. Amelia Marie Johnson, NPP NPI is 1720574940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2018

The provider's business location address is:

135 NORTH ROAD
WILTON FAMILY MEDICINE
WILTON, NY
ZIP 12831-308
Phone: (518) 926-1935
Fax: (518) 926-4804

The NPI 1720574940 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 7/11/2018 and was last updated on 7/11/2018.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health402441NEW YORKYes

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
1402441OTHERNEW YORKLICENSE

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: 11/21/2025

NPI Synchronization or Removal

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