Healthcare Provider Details

I. General information

NPI: 1851225528
Provider Name (Legal Business Name): AMBER JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 5TH ST
WEST DES MOINES IA
50265-2608
US

IV. Provider business mailing address

1101 5TH ST
WEST DES MOINES IA
50265-2608
US

V. Phone/Fax

Practice location:
  • Phone: 855-493-1830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: