STACEY LYNNE JOHNSON (NPI# 1154951192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154951192 |
| Entity Type | Individual |
| Full Name | STACEY LYNNE JOHNSON |
| Other Name | STACEY LYNNE BUCHE |
| Credential | NP |
| Practice Address |
601 1st Ave N Great Falls MT 59401-2510 |
| Practice Telephone | 4064546973 |
| Practice Fax Number | 4067919277 |
| Mailing Telephone | 4064546973 |
| Mailing Fax Number | 4067919277 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
150624 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871004382 | Stacey Lin Johnson | Counselor | 303 N Burlington Ave Ste C, Hastings, NE 68901-5085 | 2017-10-24 |
| 1225586126 | Stacey Johnson | Community Health Worker | 30422 Laurelwood Ln, Wesley Chapel, FL 33543-4452 | 2016-09-20 |
| 1083020614 | Stacey Elizabeth Johnson | Counselor | 3419 Ne Sandy Blvd., Portland, OR 97232-1959 | 2014-07-03 |
| 1083036206 | Stacey Johnson | Marriage & Family Therapist | 1056 W 49th St, Los Angeles, CA 90037-2922 | 2014-01-07 |
| 1689005993 | Stacey Johnson | Nurse Practitioner | 4301 W Markham St # 519, Little Rock, AR 72205-7101 | 2013-12-12 |
| 1003116997 | Stacey M Johnson | Registered Nurse | 12605 E 16th Ave Fl Aip23, Aurora, CO 80045-2545 | 2010-10-26 |
| 1033442918 | Stacey K Johnson | Registered Nurse | 150 Landers St, Apt 2, San Francisco, CA 94114-4706 | 2009-09-10 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1467656199 | Stacey Ann Johnson | Speech-Language Pathologist | 2922 N Seeley Ave, Chicago, IL 60618-8211 | 2007-06-14 |
| 1003441379 | Stacey Johnson | Early Intervention Provider Agency | 1002 S Dillard St Ste 106, Winter Garden, FL 34787-3991 | 2020-03-06 |
| Street Address |
601 1ST AVE N |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736047 | Michele C Marler | Family Medicine | 601 1st Ave N, Great Falls, MT 59401-2510 | 2005-11-02 |
| 1811503527 | Diondra Denton | Speech-Language Pathologist | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-09-17 |
| 1073122560 | Janelle Marie Bowden | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-07-30 |
| 1700495454 | Jessica Ann Vlasie | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-07-29 |
| 1750911962 | Heather Lynn Smith | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-01-16 |
| 1487211819 | Kelsey Elizabeth Crawford | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2019-05-21 |
| 1861055535 | Community Health Care Center Incorporated | Pharmacy | 601 1st Ave N, Great Falls, MT 59401-2510 | 2019-04-18 |
| 1881155257 | Kailyn O Green | Social Worker | 601 1st Ave N, Great Falls, MT 59401-2510 | 2019-03-28 |
| 1083171748 | Adlera Laboratory LLC | Clinical Medical Laboratory | 601 1st Ave N, Great Falls, MT 59401-2510 | 2019-02-28 |
| 1588129217 | Kimberly Mckeehan | Social Worker | 601 1st Ave N, Great Falls, MT 59401-2510 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911962 | Heather Lynn Smith | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811085517 | Janice Hausauer | Nurse Practitioner | 165 Bluebird Drive, Bozeman, MT 59718 | 2006-10-10 |
| 1962573477 | Carolyn J. Porter | Nurse Practitioner | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-11-13 |
| 1659324226 | Anine Mccallum | Nurse Practitioner | 2600 Wilson St, Miles City, MT 59301-5094 | 2006-05-18 |
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on STACEY LYNNE JOHNSON.
| 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.