MRS. ANDREA LYNN JOHNSON


Address: 1 Childrens Way, Little Rock, AR 72202-3500
Phone: 5013641100

MRS. ANDREA LYNN JOHNSON (NPI# 1134459233) 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) 1134459233
Entity Type Individual
Full Name MRS. ANDREA LYNN JOHNSON
Credential APN
Practice Address 1 Childrens Way
Little Rock
AR 72202-3500
Mailing Address 100 Lorene St
Austin
AR 72007-9143
Practice Telephone 5013641100
Mailing Telephone 5014547908
Enumeration Date 2010-01-12
Last Update Date 2013-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
A03303 ANP AR Physician Assistants & Advanced Practice Nursing Providers

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1386158301 Andrea Collier Johnson Pharmacist 5772 Jillian Way, Grand Prairie, TX 75052-0418 2017-11-29
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1861866147 Andrea Johnson Licensed Practical Nurse 21203 N Hart Pl, Detroit, MI 48220-2108 2015-11-24
1932581915 Andrea Johnson Behavioral Analyst 3781 Carisbrook Dr, North Las Vegas, NV 89081-6631 2015-06-25

Office Location

Street Address 1 CHILDRENS WAY
City LITTLE ROCK
State AR
Zip Code 72202-3500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790769586 Kenneth Richard Knecht Pediatrics 1 Childrens Way, Slot 512-3, Little Rock, AR 72202-3500 2005-12-05
1467064519 April Leverton Nurse Practitioner 1 Childrens Way, Little Rock, AR 72202-3500 2020-08-20
1154932655 Lauren L Lamb Nurse Practitioner 1 Childrens Way, Little Rock, AR 72202-3500 2020-08-10
1184249039 Thao Vu Spec/Tech, Pathology 1 Childrens Way, Little Rock, AR 72202-3500 2020-06-16
1619598703 Elise Caroline Williams Student in an Organized Health Care Education/Training Program 1 Childrens Way, Little Rock, AR 72202-3500 2020-04-30
1437785938 Melody Abernathy Radiology 1 Childrens Way, Little Rock, AR 72202-3500 2020-03-16
1164053625 Jocelyn Leibovich Dennis Registered Nurse 1 Childrens Way, Little Rock, AR 72202-3500 2020-02-03
1780224923 Tabitha Renae Mealer Orthopaedic Surgery 1 Childrens Way, Little Rock, AR 72202-3500 2020-01-15
1306486816 Amber Dane Earls Nurse Practitioner 1 Childrens Way, Little Rock, AR 72202-3500 2020-01-13
1811546468 Angelia Kay Trammell Registered Nurse 1 Childrens Way, Little Rock, AR 72202-3500 2019-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972116481 Kendra Kay Romig Physical Therapist 1617 Brookwood Dr, Little Rock, AR 72202 2020-08-25
1467071845 Allison Morton Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 589, Little Rock, AR 72202 2020-04-15
1568091593 Hannah Elisabeth Smashey Lewis Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 2020-04-02
1922569003 Lily Suh Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 2019-03-29
1629563374 Heidi Marie Lightle Audiologist 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 2018-06-26
1053817916 Daniel Harper Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 556, Little Rock, AR 72202 2018-03-31
1003320185 Uday Kumar Chalwadi Student in an Organized Health Care Education/Training Program #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 2017-11-28
1770010209 Auston Wilis Counselor 1707 W 12th St Ste 201, Little Rock, AR 72202 2017-05-15
1518499888 Patrick Ayers Student in an Organized Health Care Education/Training Program #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 2017-03-28
1508213497 The Learning Curve Lactation Support LLC Durable Medical Equipment & Medical Supplies 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 2016-05-20
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891324216 Taira Nicole Bernard Nurse Practitioner 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 2020-04-07
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1689923831 Joanna Lowery Nurse Practitioner 3 Childrens Way, Little Rock, AR 72202-3500 2012-09-04
1881941417 Denice Marie Bozeman Nurse Practitioner 1 Childrens Way # 707, Little Rock, AR 72202-3500 2012-08-14
1699038711 Jennifer Ellen Murphree Nurse Practitioner 1 Children's Way, St # 653, Little Rock, AR 72202 2012-06-22
1255579124 Kimberly Ann Grundy Nurse Practitioner 800 Marshall St # 512-3, Little Rock, AR 72202-3510 2009-01-29
1093964223 Emily Herndon Gribble Nurse Practitioner 800 Marshall St # Slot512, Little Rock, AR 72202-3510 2008-09-11
1285893552 Carole Lee Mackey Nurse Practitioner 3600 Cantrell Rd, Ste 205 Slot 512-33, Little Rock, AR 72202-1893 2008-06-03
1407022734 Julie Allison Watson Ko Nurse Practitioner 3600 Cantrell Rd Ste 205, Little Rock, AR 72202-1892 2008-05-06
1427136969 Shuna Thomas Nurse Practitioner 25 Rahling Cir Ste C1, Little Rock, AR 72223-6000 2006-11-01
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Competitor

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City LITTLE ROCK
Zip Code 72202

Improve Information

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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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