MRS. MARY BETH JOHNSON (NPI# 1104085497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104085497 |
| Entity Type | Individual |
| Full Name | MRS. MARY BETH JOHNSON |
| Other Name | MISS MARY BETH LELONEK |
| Credential | ARNP |
| Practice Address |
2322 E Kimberly Rd Davenport IA 52807-7205 |
| Practice Telephone | 5633551853 |
| Practice Fax Number | 5633591512 |
| Mailing Telephone | 5633551853 |
| Mailing Fax Number | 5633591512 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F-100600 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
2322 E KIMBERLY RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931153 | Eugene L Kerns | Obstetrics & Gynecology | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2006-02-13 |
| 1043682875 | Maria Terese Menster | Counselor | 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807-7205 | 2015-10-20 |
| 1740651579 | New Life Outpatient Center | Community/Behavioral Health | 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807-7205 | 2015-10-20 |
| 1205251345 | Courtney Hill | Counselor | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2014-02-26 |
| 1750706909 | Cheryl Kay Shovlain | Counselor | 2322 E Kimberly Rd, Suite 200 North, Davenport, IA 52807-7205 | 2014-02-25 |
| 1780966804 | New Life Outpatient Center | Community/Behavioral Health | 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807-7205 | 2011-09-14 |
| 1851623367 | Allen L Diercks Dc PC | Chiropractor | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2010-02-08 |
| 1699913061 | Nicole Marie Luszczyk | Physician Assistant | 2322 E Kimberly Rd, Ste 100n, Davenport, IA 52807-7205 | 2009-01-23 |
| 1871768242 | Weiss Family Chiropractic | Chiropractor | 2322 E Kimberly Rd, Suite 120n, Davenport, IA 52807-7205 | 2008-04-28 |
| 1326176983 | Accredited Dermatology Associates, P.C. | Dermatology | 2322 E Kimberly Rd, Suite N100, Davenport, IA 52807-7205 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887399 | Chelsea White | Nurse Practitioner | 225 Lake Davenport Blvd, Davenport, FL 33897-5425 | 2020-09-28 |
| 1932723632 | Vikram Poonia | Nurse Practitioner | 220 Steamboat Blvd, Davenport, FL 33897-5671 | 2020-05-29 |
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1184267940 | Marva Clarke | Nurse Practitioner | 640 Highland Meadows St, Davenport, FL 33837-7924 | 2019-10-24 |
| 1427532803 | Juliana Manyoh Enoakpa | Nurse Practitioner | 1351 W Central Park Ave Ste 3300, Davenport, IA 52804-1889 | 2018-09-20 |
| 1629572649 | Michelle Lynn Schultz | Nurse Practitioner | 815 E Locust Street, Heartland Care Partners, Davenport, IA 52803-4345 | 2018-03-23 |
| 1558774455 | Jenafer Garcia | Nurse Practitioner | 106 Park Place Blvd Ste C, Davenport, FL 33837-6868 | 2014-06-09 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1184801920 | Advocacy Behavioral Health, Inc. | Nurse Practitioner | 12 South Blvd E, Davenport, FL 33837-0535 | 2008-01-23 |
| 1124073911 | Judith K Spahn | Nurse Practitioner | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2006-05-23 |
| Find all providers in DAVENPORT | ||||
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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.