MR. DALE ALLEN JOHNSON (NPI# 1104856533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104856533 |
Entity Type | Individual |
Full Name | MR. DALE ALLEN JOHNSON |
Credential | ARNP-C |
Practice Address |
301 S Washington Coldwater KS 67029 |
Mailing Address |
Hc 64 Box 51a Coldwater KS 67029-9340 |
Practice Telephone | 6205822136 |
Practice Fax Number | 6205822515 |
Mailing Telephone | 6205822518 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
45205 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100395640B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881171254 | Dale Johnson | Technician | 3900 Wheeler Rd Se Unit F, Washington, DC 20032-4376 | 2018-07-27 |
1427260595 | Dale Gilman Johnson | Surgery | 828 S California St, Helena, MT 59601-5669 | 2007-05-03 |
1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
1750474706 | Dale Alan Johnson | Dentist | 1717 W Church St, Freeport, IL 61032-4695 | 2006-10-02 |
1629029095 | Dale Johnson | Optometrist | 724 Cedar St, Sault Sainte Marie, MI 49783-2410 | 2006-05-12 |
1235189143 | Dale S. Johnson | Ophthalmology | 1319 Vivian St, Longmont, CO 80501-3216 | 2006-05-11 |
1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
1932647070 | Dale Johnson | Specialist/Technologist, Other | 7324 Southwest Fwy, Suite 1550, Houston, TX 77074-2012 | 2017-02-09 |
1508236928 | Dale Johnson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-28 |
1366677890 | Dale D Johnson | Occupational Therapist | 915 Horton St, Fort Scott, KS 66701-2437 | 2009-05-28 |
Street Address |
301 S WASHINGTON |
City | COLDWATER |
State | KS |
Zip Code | 67029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114957545 | Melanie Sue Dunn | Nurse Practitioner | 301 S Washington, Coldwater, KS 67029 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225136849 | New Image Dental Care | Dentist | 207 S. Washington, Coldwater, KS 67029 | 2006-09-20 |
1891710703 | Comanche County Hospital | Clinic/Center | 301 S Washinton, Coldwater, KS 67029 | 2006-07-12 |
1437128287 | County of Comanche | Public Health or Welfare | 207 S Washington, Coldwater, KS 67029 | 2006-03-15 |
1639274871 | County of Comanche | Ambulance | 403 North Central Ave., Coldwater, KS 67029-0055 | 2006-09-13 |
1407862287 | Pharmacy Care Pa | Pharmacy | 113 E. Main, Coldwater, KS 67029-0236 | 2006-07-31 |
1588069520 | Professional Counseling Services, LLC | Counselor | 1570 Road 11, Coldwater, KS 67029-5608 | 2014-11-04 |
1316335276 | Jennifer Mugnier | Speech-Language Pathologist | 2672 Highway 183, Coldwater, KS 67029-5706 | 2014-12-30 |
1679806004 | Comanche County | Local Education Agency (LEA) | 600 N Leavenworth St, Coldwater, KS 67029-6492 | 2009-09-17 |
1831172154 | Pioneer Community Care, Inc. Dba Pioneer Lodge | Nursing Facility/Intermediate Care Facility | 300 W 3rd St, Coldwater, KS 67029-7300 | 2005-11-21 |
1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
Find all providers in zip 67029 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811523590 | Natalie H Barker | Nurse Practitioner | 556 Hagen Rd, Coldwater, MS 38618-9100 | 2020-03-13 |
1922590512 | Dawn Renae Fox | Nurse Practitioner | 375 N Willowbrook Rd, Coldwater, MI 49036-8847 | 2018-05-31 |
1376066605 | Cara Christine Klein | Nurse Practitioner | 605 W Chicago Rd, Coldwater, MI 49036-8400 | 2017-07-19 |
1487968103 | Anthony Newson | Nurse Practitioner | 643 W Service Dr, Coldwater, MS 38618-3822 | 2010-08-05 |
1548589120 | Brenda J. Hood | Nurse Practitioner | 1557 Peavine Rd, Coldwater, MS 38618-4152 | 2010-05-22 |
1114957545 | Melanie Sue Dunn | Nurse Practitioner | 301 S Washington, Coldwater, KS 67029 | 2006-07-03 |
1073138731 | Bridget Geier | Nurse Practitioner | 830 W Main St Ste 3, Coldwater, OH 45828-1657 | 2020-06-09 |
1164051710 | Jamie Lynn Nutt | Nurse Practitioner | 830 W Main St, Coldwater, OH 45828-1657 | 2020-04-06 |
1346874609 | Emily Elizabeth Wasson | Nurse Practitioner | 643 W Service Dr, Coldwater, MS 38618-3822 | 2020-02-26 |
1487286688 | Elizabeth L Mathewson | Nurse Practitioner | 605 W Chicago Rd, Coldwater, MI 49036-8400 | 2020-02-06 |
Find all providers in COLDWATER |
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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.