STEPHANIE JOHNSON (NPI# 1073129094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073129094 |
| Entity Type | Individual |
| Full Name | STEPHANIE JOHNSON |
| Practice Address |
2434 S Eason Blvd Tupelo MS 38804-6942 |
| Practice Telephone | 6626404595 |
| Practice Fax Number | 6626806416 |
| Mailing Telephone | 6626404595 |
| Mailing Fax Number | 6626806416 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214466 | Stephanie Suzanne Johnson | Nurse Practitioner | 3304 Tyler Ct, Lexington, KY 40509-1876 | 2020-08-09 |
| 1679108567 | Stephanie Johnson | Licensed Practical Nurse | 72 Norman St, East Orange, NJ 07017-3415 | 2020-03-11 |
| 1427681139 | Stephanie L Johnson | Counselor | 1325 S Colorado Blvd # B-108, Denver, CO 80222-3303 | 2020-02-20 |
| 1558992792 | Stephanie Jo Johnson | Nurse Practitioner | 106 Riggs Blvd, Bardstown, KY 40004-8067 | 2020-01-27 |
| 1487284485 | Stephanie Johnson | Assistant Behavior Analyst | 1641 Topeka Cir, Sparks, NV 89434-8866 | 2020-01-19 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1902466055 | Stephanie Aull Johnson | Occupational Therapy Assistant | 4611 Hard Scrabble Rd Ste 312, Columbia, SC 29229-8584 | 2019-06-19 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1710448477 | Stephanie Charisse Johnson | Counselor | 802 Eston St, Camarillo, CA 93010-4810 | 2019-03-26 |
| 1144784265 | Stephanie Dawn-marie Johnson | Midwife | 3 Maybrook St, Dorchester, MA 02121-4116 | 2019-01-23 |
| Street Address |
2434 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893074 | Ross E Collins Jr. | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-06-28 |
| 1245831551 | Lisa Roberts | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1295336519 | Kyra Neal | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1124635354 | Kecia Williams | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-10-01 |
| 1144837675 | Daniele Nolan | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1639786163 | Reagan Bartley | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1033725056 | Moesha Banks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1891301719 | Makinley Neighbors | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1275149197 | Hallie Goodson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1427660604 | Mary Trout | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173516 | Jessica Roberts, Pllc | Counselor | 354 N Broadway St, Tupelo, MS 38804-3926 | 2020-04-18 |
| 1639726474 | Latesha Short | Counselor | 2434 S Eason Blvd # 1, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1730661331 | Fair Park Counseling Pllc | Counselor | 210 E Main St Ste 2c, Tupelo, MS 38804-4017 | 2018-08-30 |
| 1710468863 | Wellness & Counseling Center of Tupelo LLC | Counselor | 499 Gloster Creek Vlg Ste F-5c, Tupelo, MS 38801-4600 | 2018-08-27 |
| 1316423205 | Corey Keith | Counselor | 6134 Park Heights Cir, Tupelo, MS 38801-6023 | 2018-07-14 |
| 1972037554 | Janet A Hardy | Counselor | 1202 Harrison St, Tupelo, MS 38801-5646 | 2017-04-20 |
| 1598126401 | Norris Lipsey | Counselor | 246 S Veterans Blvd, Tupelo, MS 38804-5022 | 2016-03-19 |
| 1356706535 | Donna Gail Thompson | Counselor | 699 Nation Hills Dr, Tupelo, MS 38804-6057 | 2015-12-15 |
| 1205215126 | Kana Crumby | Counselor | 499 S Gloster St, Tupelo, MS 38801-5539 | 2015-05-26 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in TUPELO | ||||
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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.