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Active NPI 1831383520 Individual Practitioner Male Practitioner

Carl Eugene Johnson , LPN

Licensed Practical Nurse • Fairbanks, AK

Professional Overview & Biography Verified Profile Summary

Carl Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fairbanks, AK. Practice services are available at 1867 AIRPORT WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1867 Airport Way
Suite 215

Fairbanks, AK 997014062

Telephone 9074561434
Fax 9074561481
Associated Practice Facility / Clinic
🏢 Mayer Clinic Incorporated Facility NPI 1285676841

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fairbanks, AK

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

Practicing in Fairbanks, AK (379 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License AK 5464

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Cathy Johnson , RN, APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1447219076

Registered Nurse, Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2013

Registered at 1867 AIRPORT WAY, SUITE 215, FAIRBANKS, AK 997014062 (Tel: 9074561434)

📍
Updated Business Mailing Address November 26, 2013

Registered at 1867 AIRPORT WAY, SUITE 215, FAIRBANKS, AK 997014062 (Tel: 9074561434)

👤
Provider Name / Credentials Updated November 26, 2013

Recorded as CARL JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2013

Licensed Practical Nurse (License #5464 in AK)

🟢
Initial NPI Registration & Enumeration September 05, 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: 1831383520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2007
Last Update: November 26, 2013
Sole Proprietor: No

Mailing Address

1867 Airport Way, Suite 215

Fairbanks, AK 997014062

Phone: 9074561434

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.