TRUDY JEAN JOHNSON (NPI# 1093378986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093378986 |
| Entity Type | Individual |
| Full Name | TRUDY JEAN JOHNSON |
| Credential | PNP |
| Practice Address |
5841 S Maryland Ave # Mc1145 Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7737026681 |
| Mailing Telephone | 7083052460 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
209018871 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760681654 | Trudy Johnson | Respiratory Therapist, Registered | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2007-07-12 |
| Street Address |
5841 S MARYLAND AVE # MC1145 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961179 | Ahmeneh Ghavam | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2011-07-05 |
| 1376073221 | Cara Elizabeth Coleman | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2017-06-14 |
| 1437513918 | Allison Patten | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-04-11 |
| 1871956714 | Stephanie Lam | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-03-29 |
| 1609258474 | Ahmed Arshad | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837863 | Emily Anne Whitlow | Nurse Practitioner | 5023 W Agatite Ave Unit 1, Chicago, IL 60630-3907 | 2020-10-06 |
| 1700115235 | Janis Marie Quinn | Nurse Practitioner | 225 E. Chicago Ave, Chicago, IL 60611-2605 | 2009-12-11 |
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1942828306 | Stephanie Allison Gierman | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-07-11 |
| 1326683236 | Brittany Brennan | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-11-14 |
| 1730651167 | Kara Hildebrandt | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-12-25 |
| 1538630785 | Katie Ruth Morrow | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-12-16 |
| 1083102172 | Amelia Kyle Rountree | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-04-25 |
| 1114429446 | Briseyda Morales Shephard | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-03-02 |
| 1295181113 | Christina Demars | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2016-05-10 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on TRUDY JEAN 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.