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CHARLA PEARCE JOHANSEN ARNP NPI 1982787560


NPI Information

NPI: 1982787560
Provider Name: CHARLA PEARCE JOHANSEN, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: NORTHERN ARIZONA HEALTHCARE CORPORATION

PECOS Registration: Yes

Address:
1215 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2200
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Charla Pearce Johansen, ARNP is a gerontology nurse practitioner in Flagstaff, AZ with 19 years of experience. Charla Pearce Johansen, ARNP NPI is 1982787560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1215 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001-126
Phone: (928) 773-2200
Fax: (928) 773-2300

The NPI 1982787560 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 10/24/2006 and was last updated on 5/18/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontology234691ARIZONAYes
2363LG0600XNurse PractitionerGerontology3234612FLORIDANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.