DEBRA SUSAN JOHNSON (NPI# 1013562172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013562172 |
| Entity Type | Individual |
| Full Name | DEBRA SUSAN JOHNSON |
| Practice Address |
912 Hemlock Rd Gulfport MS 39503-5848 |
| Practice Telephone | 2288311382 |
| Mailing Telephone | 2288311382 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870288 | Debra Ann Johnson | Nurse Practitioner | 12636 Peppertree Pl, Oklahoma City, OK 73142-2513 | 2019-09-19 |
| 1619430329 | Debra Smanda Johnson | Speech-Language Pathologist | 1021 Southport Dr, Lafayette, IN 47909-6111 | 2019-04-09 |
| 1699134189 | Debra Johnson | Occupational Therapist | 35 Mount Pleasant Rd, Sparta, NJ 07871-3844 | 2016-02-12 |
| 1992105985 | Debra Johnson | Registered Nurse | 2035 Cheyenne Ave, Ionia, IA 50645-9490 | 2014-08-27 |
| 1114290970 | Debra Johnson | Counselor | 28228 Islet Trail, Bonita Springs, FL 34135 | 2012-02-09 |
| 1568764488 | Debra Eunette Johnson | Speech-Language Pathologist | 213 Crakston Ct, Bonaire, GA 31005-3223 | 2010-11-29 |
| 1396952677 | Debra Kay Johnson | Nurse Practitioner | 6440 South Millrock Drive #175, Salt Lake City Comphealth, Salt Lake City, UT 84121 | 2007-05-17 |
| 1952513061 | Debra Ann Johnson | Registered Nurse | 9 Village Lane, Georgetown, MA 01833 | 2007-05-03 |
| 1275757999 | Debra Jo Johnson | Counselor | 2793 Acr. 319, Frankston, TX 75763 | 2007-04-12 |
| 1114064979 | Debra Lynn Johnson | Radiologic Technologist | 307 N University Blvd, Bldg. Cc Cb-135, Mobile, AL 36608-3053 | 2007-01-31 |
| Street Address |
912 HEMLOCK RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889773 | Carolyn Dianne Smith | Technician | 14077 Felton Rd, Gulfport, MS 39503-5131 | 2019-09-06 |
| 1295122570 | Monica Conley | Technician | 14881 Angela Dr, 14881 Angela Drive, Gulfport, MS 39503-3552 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050617 | Maria Annette Seale | Technician | 504 Merganser Trl, Clinton, MS 39056-6262 | 2020-10-10 |
| 1295341980 | Penny Winstead | Technician | 1523 Highway 13 N, Brandon, MS 39042-7480 | 2020-09-18 |
| 1316559966 | Royeisha Deshawn Walker | Technician | 3635 Hancock St, Jackson, MS 39213-5803 | 2020-08-17 |
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1245855790 | Hayley Caughman | Technician | 902 Stratford Ln, Amory, MS 38821-2009 | 2020-06-10 |
| 1033733738 | John Flowers | Technician | 4417 27th St, Meridian, MS 39307-4272 | 2020-05-29 |
| 1689297731 | Judy Johnson Stuart | Technician | 169 Robinhood Trl, Brandon, MS 39042-9456 | 2020-05-23 |
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1407481500 | Jannie M. King | Technician | 158 Waco Road, Inverness, MS 38753 | 2020-03-09 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| 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.