MICHELLE LYNNE JOHNSON (NPI# 1003329590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003329590 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNNE JOHNSON |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
1891 River St Hyde Park MA 02136-1418 |
| Practice Telephone | 6173337434 |
| Mailing Telephone | 6173337434 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
1097244 | MA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1659986321 | Michelle Lynn Johnson | Clinic/Center | 576 Bahia Cir Apt A, Ocala, FL 34472-2267 | 2020-09-10 |
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1649816315 | Michelle Renae Johnson | Behavioral Analyst | 901 E Washington St Apt 338, Colton, CA 92324-8143 | 2019-11-18 |
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1508361890 | Michelle Honorae-cano Johnson | Behavior Technician | 610 Bercut Dr, Sacramento, CA 95811-0115 | 2018-03-28 |
| 1992215297 | Michelle R Johnson | Speech-Language Pathologist | 923 Wisconsin Rd, New Lenox, IL 60451-2263 | 2017-10-02 |
| 1407394661 | Michelle Johnson | Assisted Living Facility | 2513 Blodgett St, Houston, TX 77004-5239 | 2017-02-08 |
| Street Address |
1891 RIVER ST |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105544 | Denise B Obeng | Specialist | 326 Shrewsbury St, Worcester, MA 01604-4083 | 2020-08-23 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1548772510 | Robert A Colombo | Specialist | 680 Worcester Rd Ste 1, Framingham, MA 01702-5259 | 2017-10-31 |
| 1750811188 | Therii Farns | Specialist | 378 Bowdoin St, Boston, MA 02122-1824 | 2017-06-18 |
| 1982999033 | Eric J Lydon | Specialist | 110 Oak Ridge Ln, Bridgewater, MA 02324-2340 | 2011-06-16 |
| 1730543612 | Donna Mcneight | Specialist | 14 Center St, Northampton, MA 01060-3005 | 2016-04-07 |
| 1194973289 | Olga Vigna | Specialist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2008-09-03 |
| 1558408740 | Nicholas P Grigorieff | Specialist | 801 Main St, Suite 8, Concord, MA 01742-3313 | 2007-01-30 |
Please comment or provide details below to improve the information on MICHELLE LYNNE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.