MRS. SHELLEY KAY JOHNSON (NPI# 1073859047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073859047 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY KAY JOHNSON |
| Practice Address |
801 E Main St Tishomingo OK 73460-2351 |
| Practice Telephone | 5803712369 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
W081093352 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200226970A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194345926 | Shelley Johnson | Nurse Practitioner | 8921 Southpointe Dr, Indianapolis, IN 46227-1084 | 2020-04-22 |
| 1952846248 | Shelley Johnson | Occupational Therapist | 4545 Cordata Pkwy, Suite Ll4, Bellingham, WA 98226-7263 | 2016-12-22 |
| 1003271891 | Shelley Johnson | Counselor | 3840 5th Ave N, St Petersburg, FL 33713-7521 | 2015-12-21 |
| 1942680251 | Shelley Johnson | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2015-06-02 |
| 1891970661 | Shelley Renee Johnson | Social Worker | 5920 Coliseum Blvd, Alexandria, LA 71303-3714 | 2007-12-29 |
| 1295923340 | Shelley Marie Johnson | Registered Nurse | 1055 N Capitol Ave, #38, San Jose, CA 95133-2701 | 2007-10-12 |
| 1104897909 | Shelley Johnson | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-01-30 |
| Street Address |
801 E MAIN ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891353819 | Kristy Dawn Ford | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2019-06-04 |
| 1215498449 | Ellen J Chapman | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2019-03-29 |
| 1629503354 | Jimmy Dewayne Spence | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2017-05-01 |
| 1114321478 | Mathew Thomas | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2014-10-15 |
| 1841612751 | Ruth Mcgraw | Case Management | 801 E Main St, Tishomingo, OK 73460-2351 | 2014-01-11 |
| 1831525591 | Cade Joseph Kennison | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-09-25 |
| 1912330713 | Shannon Nicole Hughes | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-08-15 |
| 1144666868 | Sheila D Jones | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-21 |
| 1336585652 | Jamie Griffith | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-14 |
| 1891037412 | Ashley Elizabeth Stacy | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043638760 | Jana Darnall | Psychologist | 405 N Neshoba St, Tishomingo, OK 73460-1247 | 2014-03-31 |
| 1881963338 | Aimee Rhnea Ham | Psychologist | 510 E 21st St, Tishomingo, OK 73460-3201 | 2011-12-28 |
| 1558664094 | Elizabeth Michelle Hart | Psychologist | 2511 W Morrow Rd, Tishomingo, OK 73460-0794 | 2010-12-06 |
| 1649588823 | Barbara Jo Eckman | Psychologist | 7101 S Preston Rd, Tishomingo, OK 73460-4215 | 2010-09-21 |
| 1265843049 | Kevin Adkison | Psychologist | 201 E Main St, Tishomingo, OK 73460-2339 | 2014-05-14 |
| 1144666868 | Sheila D Jones | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-21 |
| 1336585652 | Jamie Griffith | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-14 |
| 1891037412 | Ashley Elizabeth Stacy | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-03-21 |
| 1699026138 | Lindsay Rana | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2012-09-24 |
| 1215290929 | Deedra Leigh Mcmillin | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2012-06-18 |
| Find all providers in TISHOMINGO | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
Please comment or provide details below to improve the information on MRS. SHELLEY KAY JOHNSON.
| 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.