MRS. WANDA SUE JOHNSON RMF/CMF
NPI 1043331440
Specialist in Durham, NC

Active since April 03, 2007
4228 GARRETT RD, DURHAM, NC 27707(919) 489-7408(919) 490-5909 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About WANDA JOHNSON

This page provides the complete NPI Profile along with additional information for Wanda Johnson, a provider established in Durham, North Carolina with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1043331440 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1043331440 Verify this NPI
Provider Name
MRS. WANDA SUE JOHNSON RMF/CMF
Gender
Female
Entity Type
Individual
Location Address
4228 GARRETT RD DURHAM, NC 27707
Location Phone
(919) 489-7408
Location Fax
(919) 490-5909
Mailing Address
4228 GARRETT RD DURHAM, NC 27707
Mailing Phone
(919) 489-7408
Mailing Fax
(919) 490-5909
Is Sole Proprietor?
Yes
Enumeration Date
04-03-2007
Last Update Date
07-11-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

(NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7795110MEDICAID (05)NC 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
4228 GARRETT RD
DURHAM, NC 27707
Durable Medical Equipment & Medical Supplies (Customized Equipment)
4228 GARRETT RD
DURHAM, NC 27707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043331440, enumerated as an "individual" on April 03, 2007.

The provider is located at 4228 GARRETT RD DURHAM, NC 27707 and the phone number is (919) 489-7408.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.