CAROLYN JOHNSON (NPI# 1114482569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114482569 |
| Entity Type | Individual |
| Full Name | CAROLYN JOHNSON |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
13462 Hwy 110 N Tyler TX 75704-2444 |
| Practice Telephone | 9032830106 |
| Mailing Telephone | 9032830106 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP140535 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918235 | Carolyn Ann Johnson | Counselor | 15362 E 12th St, Tulsa, OK 74108-4710 | 2020-10-01 |
| 1174171003 | Carolyn Elizabeth Johnson | Speech-Language Pathologist | 12375 Aden Rd, Nokesville, VA 20181-2320 | 2019-09-04 |
| 1013565183 | Carolyn Lee Johnson | Nurse's Aide | 166b Smokey Rdg, Onalaska, WA 98570-9452 | 2019-08-30 |
| 1669975587 | Carolyn S Johnson | Registered Nurse | 1027 French Rd, Indianola, MS 38751-9605 | 2018-03-16 |
| 1093215543 | Carolyn Johnson | Licensed Vocational Nurse | 2310 Buck Dr, Tyler, TX 75701-2406 | 2018-02-20 |
| 1043763485 | Carolyn Johnson | Occupational Therapist | 9241 Vendome Dr, Bethesda, MD 20817-4029 | 2016-08-02 |
| 1780097873 | Carolyn Johnson | Home Health Aide | 113 Stone Dr, Anderson, SC 29625-2710 | 2014-06-05 |
| 1124392410 | Carolyn Amanda Johnson | Licensed Practical Nurse | 422 E 35th St, Brooklyn, NY 11203-5010 | 2012-03-03 |
| 1912282153 | Carolyn J Johnson | Pharmacist | 3184 London Rd, Eau Claire, WI 54701 | 2011-10-19 |
| 1134417280 | Carolyn Ilene Johnson | Nurse Practitioner | 516 Division St Ste 110, Cedar Falls, IA 50613-2381 | 2011-07-11 |
| Street Address |
13462 HWY 110 N |
| City | TYLER |
| State | TX |
| Zip Code | 75704-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
| 1932757945 | Gracelyn Hernandez Kuester | Technician | 14320 Country Road 420, Tyler, TX 75704 | 2019-09-03 |
| 1033770227 | Rajamanoj Kondaveeti | Dentist | 3873 Tx-64, Tyler, TX 75704 | 2019-06-27 |
| 1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
| 1649836768 | Tyla Sherrie' Tarrant | Licensed Vocational Nurse | 3050 Cr 427, #502, Tyler, TX 75704 | 2019-05-14 |
| 1437458874 | North Mesa Dental, PC | Dentist | 3864 Hwy 64 West, Tyler, TX 75704 | 2011-03-24 |
| 1093025751 | Zana Elliot Enterprises LLC | Nurse Practitioner | 12751 Westbrook Dr, Tyler, TX 75704 | 2010-10-15 |
| 1710036454 | Tammy Jimenez | Dietitian, Registered | 5555 W. Twin Lakes Dr., Tyler, TX 75704 | 2007-01-10 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| Find all providers in zip 75704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329728 | Rachel E Fouse | Nurse Practitioner | 323 S Fannin Ave, Tyler, TX 75702-7321 | 2020-02-29 |
| 1942845243 | Nicolette Jane Silverio | Nurse Practitioner | 6116 Wilshire Dr, Tyler, TX 75703-4160 | 2019-11-10 |
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1356996573 | Katy Sutton | Nurse Practitioner | 1901 Belmont Dr, Tyler, TX 75701-4338 | 2019-08-05 |
| 1063067577 | Elnora King | Nurse Practitioner | 1600 Rice Rd Apt 1117, Tyler, TX 75703-3308 | 2019-08-02 |
| 1851959472 | Tx Np Health, Pllc | Nurse Practitioner | 21755 Syrah Ln, Tyler, TX 75703-9274 | 2019-05-29 |
| 1720543556 | Kelsey Danielle Sheeley | Nurse Practitioner | 6770 Old Jacksonville Hwy Ste 103, Tyler, TX 75703-0576 | 2019-02-06 |
| 1790257392 | Tiffany Yvette Gardner | Nurse Practitioner | 301 Fm 757, Tyler, TX 75705-4503 | 2018-12-20 |
| 1174023352 | Jonathan Brice King | Nurse Practitioner | 721 Clinic Dr # A, Tyler, TX 75701-2043 | 2018-02-14 |
| 1912436684 | Carlyn Graff | Nurse Practitioner | 1420 Wsw Loop 323 Ste 100, Tyler, TX 75701-9347 | 2017-06-07 |
| Find all providers in TYLER | ||||
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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.