KENRA EARLINE JOHNSON (NPI# 1033506100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033506100 |
| Entity Type | Individual |
| Full Name | KENRA EARLINE JOHNSON |
| Credential | FNP-C |
| Practice Address |
14780 W. Mountain View Blvd. Suite 110 Surprise AZ 85374-7280 |
| Practice Telephone | 6233747774 |
| Practice Fax Number | 8777965302 |
| Mailing Telephone | 6233747774 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5624 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14780 W. MOUNTAIN VIEW BLVD. SUITE 110 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-7280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241940 | Nancy J Cooper | Physician Assistant | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2005-08-03 |
| 1093183808 | Lorie Weber | Physician Assistant | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-09-10 |
| 1770959090 | Robin Garrett | Clinical Neuropsychologist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-08-20 |
| 1053798009 | Janice A Love | Social Worker | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-04-29 |
| 1164819678 | Md24 Ihealth, Inc. | Psychologist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-04-22 |
| 1063808558 | Alicja Stewart | Psychologist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-04-10 |
| 1154713048 | Keqiang Shen | Nurse Practitioner | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-03-02 |
| 1205237229 | Lori Allard | Nurse Practitioner | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2014-09-09 |
| 1417399098 | Tyler C Maxson | Psychologist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2013-07-23 |
| 1902244973 | Chelsea Cain | Optometrist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2013-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010595 | Tenacity Integrated Behavioral Healthcare, Pllc | Nurse Practitioner | 15330 W Bola Dr, Surprise, AZ 85374-1412 | 2020-07-20 |
| 1619590775 | Amber Danielle Lindsey | Nurse Practitioner | 18346 W Carmen Dr, Surprise, AZ 85388-2338 | 2020-05-24 |
| 1255987475 | Ira Davis Denny | Nurse Practitioner | 16007 N 171st Ln, Surprise, AZ 85388-0211 | 2019-08-13 |
| 1811459779 | Bridget Wright | Nurse Practitioner | 15273 W Honeysuckle Ln, Surprise, AZ 85374-3493 | 2019-04-01 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1972073013 | Kaylan Joy Burkett | Nurse Practitioner | 13921 W Grand Ave Ste 502, Surprise, AZ 85374-2439 | 2018-12-02 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1134636608 | Alyssa Hocking | Nurse Practitioner | 15521 W Bell Rd, Surprise, AZ 85374-3437 | 2018-01-05 |
| 1417469982 | Nathan Joseph Klein | Nurse Practitioner | 13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512 | 2017-10-24 |
| 1396256871 | Jennifer Dawn Faber | Nurse Practitioner | 16578 W Greenway Rd Ste 202, Surprise, AZ 85388-2184 | 2017-10-23 |
| Find all providers in SURPRISE | ||||
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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.