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AMANDA GRACE JOHNSON
NPI 1376289793
Student in an Organized Health Care Education/Training Program in Quincy, MA

Active since May 09, 2022PECOS Enrolled
460 QUINCY AVE, QUINCY, MA 02169(800) 528-4890 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Grace Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GRACE JOHNSON (NPI 1376289793) is an individual student in an organized health care education/training program in Quincy, Massachusetts and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376289793
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA GRACE JOHNSON
Location Address460 QUINCY AVEQuincy, MA 02169-8130
Mailing Address500 Victory RdQuincy, MA 02171-3139
Phone(800) 528-4890
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1376289793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
460 QUINCY AVE, Quincy, MA 02169
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Grace Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375012438
PECOS Enrollment IDI20260518003369
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARIA HIGGINBOTTOM
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
MR. TOM F CHAPPUIS JR.
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 774-6036
DELLA LEAH KAPLAN RN/PC
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
MEREDITH LEIGH NOCEK M.S.
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
PETER SSEMMBATYA
Case Manager/Care Coordinator
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
ANDREA COOPER
Health Educator
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
MARK DAVID NOTRTON LICSW
Social Worker (Clinical)
460 QUINCY AVE, SOUTH SHORE MENTAL HEALTH
QUINCY, MA 02169
Norfolk County (616) 689-2560
MELISSA M SYLVAIN RN
Registered Nurse
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1376289793. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Amanda Johnson located?

Amanda Johnson practices at 460 Quincy Ave, Quincy, MA 02169. The listed phone number is (800) 528-4890.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Johnson enrolled in Medicare?

Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.