IndividualActive
Amanda Johnson, PA-C
NPI 1649867151 · Physician Assistant · Warren, MI
Provider details
- NPI number
- 1649867151
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4700 E 13 Mile Rd
Warren, MI 48092-4438
Phone: (586) 576-0431
Street-level locationGet directions
Mailing address
42 W Warren Ave
Detroit, MI 48201-1347
Additional practice locations (1)
- 42 W Warren AveDetroit, MI 48201-1347Phone: (313) 577-2424
Registry dates
- Enumerated
- 2020-12-30
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.