MR. ROBERT LEROY JOHNSON (NPI# 1053945352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053945352 |
Entity Type | Individual |
Full Name | MR. ROBERT LEROY JOHNSON |
Practice Address |
29 Tucker Rd Hardy AR 72542-9115 |
Mailing Address |
29 Tucker Rd. Hardy AR 72542 |
Practice Telephone | 8709550972 |
Mailing Telephone | 8709550972 |
Enumeration Date | 2020-02-25 |
Last Update Date | 2020-06-10 |
Gender Code | M |
Is Sole Proprietor | N |
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 |
---|---|---|---|---|
1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
1558726133 | Robert Johnson | Case Manager/Care Coordinator | 7540 Collins Ct, Jacksonville, FL 32244-5353 | 2015-12-23 |
Street Address |
29 TUCKER RD |
City | HARDY |
State | AR |
Zip Code | 72542-9115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
Find all providers in zip 72542 |
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 |
---|---|---|---|---|
1336748573 | Tammy Dawn Mckeehan | Technician | 29888 Highway 84, Malvern, AR 72104-8538 | 2020-10-20 |
1346855038 | Kimberly Ferguson | Technician | 4103 Reynolds Park Road, Paragould, AR 72450-2118 | 2020-09-10 |
1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
1518584077 | Robert Ray Davis | Technician | 1519 Mulberry Salem Rd, Benton, AR 72019-8253 | 2020-07-01 |
1477179422 | Bianca Smith | Technician | 136 Pecan St, Marked Tree, AR 72365-1926 | 2020-06-24 |
1508482001 | Mid-south Personal Care Agency, LLC | Technician | 83 Harvard Rd, Marion, AR 72364-9738 | 2020-06-19 |
1568098036 | Lynn Hodge | Technician | 18803 Strawberry Plant Rd, Fayetteville, AR 72704-8587 | 2020-03-17 |
1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
1982248605 | Ginger R Specking | Technician | 573 Greene 142 Rd, Lafe, AR 72436 | 2019-11-06 |
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.