MARLA SMITH JOHNSON


Address: 900 Medical Village Dr, Medi, Edgewood, KY 41017
Phone: 8593310774

MARLA SMITH JOHNSON (NPI# 1104821982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104821982
Entity Type Individual
Full Name MARLA SMITH JOHNSON
Credential APRN
Practice Address 900 Medical Village Dr
Medi
Edgewood
KY 41017
Mailing Address Po Box 635283
Cincinnati
OH 45263-5283
Practice Telephone 8593310774
Practice Fax Number 8595783800
Mailing Telephone 8593310774
Mailing Fax Number 8595783800
Enumeration Date 2005-06-17
Last Update Date 2018-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3003587 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY RAIL ROAD MEDDICARE P00954941 01
ANTHEM 000000225922 01
OH 0052920 05
IN 201127110 05
KY 78006681 05
KY RAIL ROAD MEDICARE P00942703 01
PALMETTO GBA-RAILROAD MEDICARE 500023900 01

Other Providers MARLA JOHNSON

NPI Name Taxonomy Address Enumeration
1346620028 Marla Johnson Student in an Organized Health Care Education/Training Program 1101 Medical Arts Avenue N.e., Albuquerque, NM 87102 2015-06-08
1851563126 Marla Estelle Johnson Massage Therapist 2404 Hoyt Ave, #4, Everett, WA 98201 2008-03-27
1336616697 Marla Christine Johnson Counselor 1101 W College Ave, Spokane, WA 99201-2010 2018-10-25
1255855334 Marla Deann Johnson Counselor 1255 Pearl St Ste 102, Eugene, OR 97401-3570 2017-07-31
1063752715 Marla D Johnson Counselor 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 2013-02-18
1851538383 Marla Geddis Johnson Physician Assistant 406 Memorial Drive Ext, Greer, SC 29651-1818 2009-01-21
1720241102 Marla Y Johnson Pediatrics 2500 N State St, Jackson, MS 39216-4500 2008-07-07

Office Location

Street Address 900 MEDICAL VILLAGE DR
MEDI
City EDGEWOOD
State KY
Zip Code 41017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275536302 Jerome B Schutzman Internal Medicine 900 Medical Village Dr, Edgewood, KY 41017 2005-05-23
1083212344 Kelly O'brien Physician Assistant 900 Medical Village Dr, Edgewood, KY 41017-3422 2020-10-09
1841814423 Patrick Howard Counts Student in an Organized Health Care Education/Training Program 900 Medical Village Dr, Edgewood, KY 41017-3422 2020-05-30
1316341597 April Sawyers Nurse Practitioner 900 Medical Village Dr, Edgewood, KY 41017-3422 2014-10-16
1407121601 Stephen Joseph Schutzman Internal Medicine 900 Medical Village Dr, Edgewood, KY 41017-3422 2012-03-20
1346515988 Christina Staggs Nurse Practitioner 900 Medical Village Dr, Edgewood, KY 41017-3422 2012-03-15
1265642193 Saadeddine Dughman Internal Medicine 900 Medical Village Dr, Edgewood, KY 41017 2007-05-22
1861440984 Carmen S. Grandt Physician Assistant 900 Medical Village Dr, Edgewood, KY 41017 2006-05-04
1417934415 Cardiology Associates, Psc Internal Medicine 900 Medical Village Dr, Edgewood, KY 41017-3422 2005-12-30
1174526057 Darlene Tierney Nurse Practitioner 900 Medical Village Dr, Edgewood, KY 41017 2005-05-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578187209 St. Elizabeth Medical Center, Inc. Pharmacy 1 Medical Village Dr., Edgewood, KY 41017 2020-05-28
1366084337 St. Elizabeth Medical Center, Inc. Pharmacy 850 Thomas More Parkway, Edgewood, KY 41017 2019-10-11
1396396750 Family First Vision Care Kentucky Optometrist 614 Buttermilk Pike, Fort Mitchell, KY 41017 2019-09-26
1083184543 Katie Franconia Smith Nurse Practitioner 2865 Chancellor Dr., Crestview Hills, KY 41017 2018-11-27
1871077511 Janet Reeves Martin Nurse Practitioner Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 2018-09-19
1144713983 Kelly Wiechart Dentist 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 2018-06-06
1225535966 Proscan Radiology Northern Kentucky, LLC Radiology 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 2018-04-10
1396241626 Tressa S. Leahy Physical Therapist 200 Medical Village Drive, Edgewood, KY 41017 2018-04-04
1699294470 Raymond Gardinier Physical Therapist 3755 Old Ky 17, Fort Wright, KY 41017 2017-09-13
1992229785 Adrienne Bussard Physician Assistant 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 2017-08-02
Find all providers in zip 41017

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811995558 Steven Douglas Martin Nurse Practitioner 1 Medical Village Drive, Edgewood, KY 41017-3403 2005-07-07
1609477652 Best Choice Healthcare Services Nurse Practitioner 500 Edgewood Rd Ste 210, Edgewood, MD 21040-2734 2020-11-05
1437756442 Danielle Brauning Nurse Practitioner 1 Medical Village Dr, Edgewood, KY 41017-3403 2020-10-02
1649887944 Ashleigh Eversole Nurse Practitioner 1 Medical Village Dr, Edgewood, KY 41017-3403 2020-09-30
1043821085 David Thomas Tackett Nurse Practitioner 20 Medical Village Dr, Edgewood, KY 41017-5401 2020-08-13
1104443480 Jessica Mollmann Nurse Practitioner 1 Medical Village Dr, Edgewood, KY 41017-3403 2020-07-02
1174147458 Allison M Dorman Nurse Practitioner 830 Thomas More Pkwy, Edgewood, KY 41017-5102 2020-06-03
1669096137 Karle Ann Miller Nurse Practitioner 830 Thomas More Pkwy, Edgewood, KY 41017-5102 2020-06-01
1144859208 Jane Nordman Nurse Practitioner 1 Medical Village Dr, Edgewood, KY 41017-3403 2020-04-02
1245866888 Annalee Fitzpatrick Nurse Practitioner 20 Medical Village Dr, Edgewood, KY 41017-5401 2020-03-16
Find all providers in EDGEWOOD

Competitor

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City EDGEWOOD
Zip Code 41017

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Dataset Information

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.

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