BETH M JOHNSON (NPI# 1063422681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063422681 |
| Entity Type | Individual |
| Full Name | BETH M JOHNSON |
| Other Name | BETH M ORENDORFF |
| Credential | DC |
| Practice Address |
419 Broadway St Lincoln IL 62656-2019 |
| Practice Telephone | 2177352527 |
| Practice Fax Number | 2177324377 |
| Mailing Telephone | 2177352527 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-009168 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 038-009168 | 05 | |
| IL | RAILROAD MEDICARE | 350056549 | 01 |
| IL | RAILROAD MEDICARE GROUP | CK6783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023597093 | Beth Ann Johnson | Nurse Practitioner | 7922 Ewing Halsell Dr Ste 120, San Antonio, TX 78229-3786 | 2018-08-10 |
| 1396769683 | Beth A. Johnson | Pediatrics | 3333 Burnet Avenue Ml 7009, Cincinnati, OH 45229-3026 | 2006-07-27 |
| 1811925613 | Beth A Johnson | Psychologist | 161 W Wisconsin Ave, Pewaukee, WI 53072-3467 | 2006-06-29 |
| 1912556952 | Beth Laurie Johnson | Social Worker | 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433-2583 | 2019-09-11 |
| 1417424946 | Beth Johnson | Occupational Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2018-11-02 |
| 1285149666 | Beth E Johnson | Speech-Language Pathologist | 1664 N Virginia St, Ms-0152, Reno, NV 89557-0152 | 2017-12-07 |
| 1205353604 | Beth Johnson | Counselor | 753 Maleta Ln Ste 204, Castle Rock, CO 80108-7609 | 2017-08-25 |
| 1962945915 | Beth A Johnson | Social Worker | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2016-11-23 |
| 1932563566 | Beth Johnson | Family Medicine | 1455 Main St Ste 100, Windsor, CO 80550-5559 | 2016-04-10 |
| 1386980936 | Beth Johnson | Counselor | 820 1st Street, Limon, CO 80828-1120 | 2012-12-28 |
| Street Address |
419 BROADWAY ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831426808 | Salt Creek Chiropractic LLC | Chiropractor | 419 Broadway St, Lincoln, IL 62656-2019 | 2009-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1124642863 | The Body Lab, LLC | Chiropractor | 1415 Dahlberg Dr Ste A, Lincoln, NE 68512-9266 | 2020-05-28 |
| 1447879515 | Nodak Chiropractic and Acupuncture LLC | Chiropractor | 2730 Paintball Way Bldg B, Lincoln, ND 58504-2503 | 2020-04-09 |
| 1235776550 | Healthfirst Lincoln Inc | Chiropractor | 2200 N Kickapoo St Ste 2, Lincoln, IL 62656-1390 | 2019-12-05 |
| 1447712757 | Novo Chiropractic LLC | Chiropractor | 8601 S 30th St Ste 108, Lincoln, NE 68516-5957 | 2019-04-04 |
| 1003380775 | Dustin Hadley Smith | Chiropractor | 4220 Lucile Dr Ste 2, Lincoln, NE 68506-6004 | 2019-01-16 |
| 1720569866 | Zoann Alexis Mader | Chiropractor | 7555 S 57th St Ste 2, Lincoln, NE 68516-6663 | 2018-08-27 |
| 1639657240 | Lindsey Christine Decker | Chiropractor | 292 S 65 Hwy, Lincoln, MO 65338-2587 | 2018-08-06 |
| 1679050371 | Troy Charles Hayes | Chiropractor | 8550 Andermatt Dr Ste 2, Lincoln, NE 68526-9781 | 2018-07-25 |
| 1235616442 | Vinay Panchal | Chiropractor | 3121 S 11th St, Lincoln, NE 68502-4416 | 2018-07-20 |
| Find all providers in LINCOLN | ||||
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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.