Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467667956 Deactivated / Inactive NPI Female Practitioner

Mary Johnson

Contractor • Bethel, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2007
NPI Deactivation Date July 22, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Mary Johnson was a registered Contractor practicing in Bethel, AK. Throughout an active medical career spanning 15 years, Mary Johnson provided care at the practice location at 700 CHIEF EDDIE HOFFMAN HIGHWAY until profile deactivation on 2022-07-22.

Practice Location & Contact Primary Location

Practice Address

700 Chief Eddie Hoffman Highway

Bethel, AK 995590287

Telephone 9075436300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Bethel, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bethel, AK (26 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
May Prunes

Day Training/Habilitation Specialist

NPI 1003023102
Jimmy Jimmy

Technician - Personal Care Attendant

NPI 1003023391
Darek Noratak

Day Training/Habilitation Specialist

NPI 1003130451
Freida Sergie

Technician - Personal Care Attendant

NPI 1003193111
Phyllis Coyle , RD, LD

Dietitian, Registered

NPI 1013111046

Registered Dietitian, Licensed Dietitian

Hannah Owen

Technician - Personal Care Attendant

NPI 1013122456

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 995590287 (Tel: 9075436300)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 528, BETHEL, AK 995590528

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor

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Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467667956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 08, 2007
Deactivation Date: July 22, 2022

Mailing Address

Po Box 528

Bethel, AK 995590528

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.