1356323695 NPI number — MRS. APRIL DAWN JOHNSON OT

Table of content: MRS. APRIL DAWN JOHNSON OT (NPI 1356323695)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356323695 NPI number — MRS. APRIL DAWN JOHNSON OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON
Provider First Name:
APRIL
Provider Middle Name:
DAWN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KEIM
Provider Other First Name:
APRIL
Provider Other Middle Name:
DAWN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
OT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1356323695
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
818 NEWTOWN RD
Provider Second Line Business Mailing Address:
DIANNE D EPPLEIN & ASSOCIATES
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23462-1116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-473-8016
Provider Business Mailing Address Fax Number:
757-473-3580

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
818 NEWTOWN RD
Provider Second Line Business Practice Location Address:
DIANNE D EPPLEIN & ASSOCIATES
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23462-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-473-8016
Provider Business Practice Location Address Fax Number:
757-473-3580
Provider Enumeration Date:
11/14/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  0119002894 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 0119002894 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 496651 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 35062 . This is a "OPTIMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4980093 . This is a "VIRGINIA PREMIER HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11230493 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9116460 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 436887 . This is a "ANTHEM BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6400313 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7077367 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".