ENRICO RAMON JOHNSON (NPI# 1154789741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154789741 |
| Entity Type | Individual |
| Full Name | ENRICO RAMON JOHNSON |
| Credential | NP-C |
| Practice Address |
1925 Woodwinds Dr Woodbury MN 55125-4445 |
| Mailing Address |
1415 Lilac Dr N Ste 190 Golden Valley MN 55422-4544 |
| Practice Telephone | 6512320100 |
| Mailing Telephone | 7632678701 |
| Mailing Fax Number | 7632319602 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP 4417 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1415 Lilac Dr N, Golden Valley, MN 55422 | 7632678701 | 7632319602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003341181 | Enrico J Johnson | Counselor | 316 Station St, Bridgeville, PA 15017-1833 | 2017-04-26 |
| Street Address |
1925 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307223 | Pamela Lynn Schmidt | Registered Nurse | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2020-02-11 |
| 1386287910 | Sara Beth Roslansky | Clinical Nurse Specialist | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2019-10-27 |
| 1699133876 | Caroline Brouwer | Registered Nurse | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2016-02-03 |
| 1174909303 | Sarah Raymond | Social Worker | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2015-08-11 |
| 1154701282 | Ryan Ban | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125 | 2015-06-03 |
| 1801282447 | Richie Kimlong Huynh | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125 | 2015-04-10 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1891033312 | Claire Stuessy | Social Worker | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2013-01-17 |
| 1982953675 | Michaela D.m. Smith | Psychologist | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2012-09-10 |
| 1235498874 | Teresa Marie Demarais | Dietitian, Registered | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2012-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1538635255 | Timothy Peter Daniel | Nurse Practitioner | 64a Jones Mill Rd, Woodbury, GA 30293-2678 | 2018-10-20 |
| 1598293557 | Veronica Furigay Pomasin | Nurse Practitioner | 17 West Red Bank Ave, Suite 303, Woodbury, NJ 08096 | 2017-06-02 |
| 1881094936 | Nicole Logue | Nurse Practitioner | 42 Artillery Rd, Woodbury, CT 06798-2308 | 2014-08-26 |
| 1376982512 | Krystal Choi Joo | Nurse Practitioner | 1045 Pelto Path, Woodbury, MN 55129-9205 | 2013-06-20 |
| 1699905604 | Elizabeth Gullotta Murchie | Nurse Practitioner | 1811 Weir Dr Ste 355, Woodbury, MN 55125-2273 | 2009-07-24 |
| 1194863159 | Miladys Delgado | Nurse Practitioner | 17 W Red Bank Ave Ste 201, Woodbury, NJ 08096-1630 | 2007-02-02 |
| 1649387788 | Brian R Buchner | Nurse Practitioner | 1925 Woodwinds Drive, Woodbury, MN 55125 | 2006-08-24 |
| 1316950686 | Tracey Lynn Baehler | Nurse Practitioner | 650 Commerce Dr Ste 153, Woodbury, MN 55125-3058 | 2006-08-15 |
| 1326061193 | Velma Ann Griggs | Nurse Practitioner | 2101 Woodwinds Dr Ste 300, Woodbury, MN 55125-2526 | 2006-07-25 |
| Find all providers in WOODBURY | ||||
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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.