MISS CYNTHIA DENISE JOHNSON (NPI# 1093064768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093064768 |
| Entity Type | Individual |
| Full Name | MISS CYNTHIA DENISE JOHNSON |
| Credential | RN |
| Practice Address |
5471 Dr Martin Luther King Dr Saint Louis MO 63112-4265 |
| Practice Telephone | 3143675820 |
| Practice Fax Number | 3143676326 |
| Mailing Telephone | 3143675820 |
| Mailing Fax Number | 3143676326 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2014039693 | MO | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 2012014436 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762816 | Cynthia Johnson | Family Medicine | 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 | 2020-02-21 |
| 1104478197 | Cynthia Ann Johnson | Specialist/Technologist | 249 Nw Chehalis Ave, Chehalis, WA 98532-2033 | 2019-07-10 |
| 1275003782 | Cynthia Norman Johnson | Social Worker | 5803 River Glen Dr, Greensboro, NC 27455-1499 | 2018-11-27 |
| 1831684489 | Cynthia Diane Johnson | Home Health Aide | 809 Cedar Heights Dr Apt A, Capitol Heights, MD 20743-6400 | 2018-06-26 |
| 1447748330 | Cynthia Teener Johnson | Psychologist | 3405 Penrose Pl Ste 203, Boulder, CO 80301-1820 | 2018-04-25 |
| 1447763594 | Cynthia T. Johnson | Nurse Practitioner | 152 S Mckibben St, Jackson, GA 30233-2022 | 2017-11-12 |
| 1235596818 | Cynthia Johnson | Counselor | 398 Poplar St, Roslindale, Roslindale, MA 02131-4648 | 2016-01-27 |
| 1811301252 | Cynthia Irene Johnson | Social Worker | 7015 258th St, Wyoming, MN 55092-8305 | 2014-06-13 |
| 1720423940 | Cynthia Johnson | Nutritionist | 9701 Apollo Dr Ste 301, Largo, MD 20774-4790 | 2013-05-01 |
| 1114276177 | Cynthia Johnson | Occupational Therapist | 2200 East Washington St, Bloomington, IL 61701 | 2012-09-06 |
| Street Address |
5471 DR MARTIN LUTHER KING DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825391 | Tiffany Shonta Klopner | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-14 |
| 1396359022 | Pamela Yvonne Wallace | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-01 |
| 1548874290 | Ashley D Whitley | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-01 |
| 1184235616 | Kendra Nailah Hughes | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-08-10 |
| 1780202135 | Amy Marie Heidotten | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-07-13 |
| 1376161729 | Monica Jeanne Witherspoon | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-07-13 |
| 1629691233 | Lavada Dolores James | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-05-19 |
| 1851910277 | Raven Clay | Nurse's Aide | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-04-15 |
| 1093342800 | Brittany Xia Wright | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-03-24 |
| 1124652714 | Jaemi Madlambayan Tiongson | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481969 | Kelei Mitchell | Licensed Practical Nurse | 906 Eichelberger St, Saint Louis, MO 63111-1603 | 2020-09-14 |
| 1649897547 | Cheryl Vetter | Licensed Practical Nurse | 1034 S Brentwood Blvd Ste 1540, Saint Louis, MO 63117-1229 | 2020-06-26 |
| 1538703020 | Gregory Charles Womack Sr. | Licensed Practical Nurse | 4929 Wise Ave, Saint Louis, MO 63110-1418 | 2019-10-29 |
| 1376012138 | Krystal K Bradford | Licensed Practical Nurse | 157 Signal Hill Dr, Saint Louis, MO 63121-1219 | 2018-11-21 |
| 1528549946 | Desola R Nunley | Licensed Practical Nurse | 5057 Gravois Ave, Saint Louis, MO 63116-2342 | 2018-08-23 |
| 1033696653 | Akia Jenae Walton | Licensed Practical Nurse | 1430 Olive St Ste 100, Saint Louis, MO 63103-2303 | 2018-07-26 |
| 1083116792 | Rachael Simpson | Licensed Practical Nurse | 1409 Washington Ave Ste 511, Saint Louis, MO 63103-1901 | 2018-03-08 |
| 1932608205 | Naomia Wright | Licensed Practical Nurse | 7823 Contour Dr, Saint Louis, MO 63121-2165 | 2018-02-01 |
| 1679087753 | Trinity Health Care Services | Licensed Practical Nurse | 1033 Corporate Square Dr Ste 125, Saint Louis, MO 63132-2928 | 2017-11-27 |
| 1457756850 | Trdell Denise Overbey | Licensed Practical Nurse | 11960 Westline Industrial Dr # 2, Saint Louis, MO 63146-3209 | 2014-10-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
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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.