BROOKE JOHNSON (NPI# 1164896379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164896379 |
Entity Type | Individual |
Full Name | BROOKE JOHNSON |
Credential | DNP, AGNP-C |
Practice Address |
12700 Whitewater Dr Minnetonka MN 55343-9438 |
Mailing Address |
4205 Woodstock Ave Minneapolis MN 55422-5277 |
Practice Telephone | 6123989333 |
Mailing Telephone | 6052808892 |
Enumeration Date | 2015-11-25 |
Last Update Date | 2020-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6468 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0992021 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6455 S Yosemite St, Ste 600, Greenwood Village, CO 801115139 | 3035020102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366932501 | Brooke Johnson | Technician, Pathology | 26022 Budde Rd Ste B103, Spring, TX 77380-2014 | 2018-05-14 |
1194859298 | Brooke Patterson Johnson | Speech-Language Pathologist | 700 Chatham Medical Park, Elkin, NC 28621-2483 | 2007-03-14 |
1396893483 | Brooke Elizabeth Johnson | Specialist | 34321 32 Ave E, Eatonville, WA 98328 | 2007-01-08 |
1073111985 | Brooke Johnson | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-13 |
1477103885 | Brooke Johnson | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-09-17 |
1790347888 | Brooke Lauren Johnson | Occupational Therapist | 1536 Fording Island Rd Ste 105, Hilton Head Island, SC 29926-1144 | 2019-06-28 |
1932768959 | Brooke E Johnson | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2019-06-12 |
1083189039 | Brooke E Johnson | Counselor | 1027 E Burnside St, Portland, OR 97214-1328 | 2018-10-05 |
1528556974 | Brooke Anne Johnson | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2018-05-01 |
1962905620 | Brooke Nicole Johnson | Occupational Therapist | 944 W Kawailani St, Hilo, HI 96720-3218 | 2018-03-08 |
Street Address |
12700 WHITEWATER DR |
City | MINNETONKA |
State | MN |
Zip Code | 55343-9438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699234609 | Melissa Bolles | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2019-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
Find all providers in zip 55343 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649446246 | Leigh Hammond | Nurse Practitioner | 9900 Bren Road East Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2008-05-02 |
1902894348 | Suzanne M Oliver | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp320, Minnetonka, MN 55305-5359 | 2005-10-10 |
1699234609 | Melissa Bolles | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2019-03-19 |
1689148942 | Vanessa Ann Figueroa | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-01-18 |
1083184709 | Leah Rose Brown | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-11-26 |
1699241752 | Kim B Lackey | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-10-16 |
1487135059 | Ada Y. Martinez | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-08-22 |
1720585326 | Amy Marie Ringwald | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2018-04-10 |
1497268429 | Erin Watts | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-1357 | 2017-11-13 |
1174058531 | Patre D Williams | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2017-04-24 |
Find all providers in MINNETONKA |
City | MINNETONKA |
Zip Code | 55343 |
Please comment or provide details below to improve the information on BROOKE 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.