DIANE S JOHNSON (NPI# 1184101453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184101453 |
| Entity Type | Individual |
| Full Name | DIANE S JOHNSON |
| Credential | PMHNP-BC |
| Practice Address |
5000 Highway 39 N Meridian MS 39301-1021 |
| Practice Telephone | 6014836211 |
| Mailing Telephone | 6014836211 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 902815 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
902815 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241101 | Diane Mae Johnson | Counselor | 1345 E Madison Ave Spc 24, El Cajon, CA 92021-8535 | 2020-06-26 |
| 1093192759 | Diane Mason Johnson | Speech-Language Pathologist | 612 Travis St Apt 11d, Kerrville, TX 78028-4767 | 2015-05-01 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1295098127 | Diane Renee Johnson | Occupational Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2012-06-15 |
| 1992015952 | Diane Johnson | Registered Nurse | 28 Red Maple Rd, Saugerties, NY 12477-9326 | 2010-10-08 |
| 1124271895 | Diane Natasha Johnson | Occupational Therapist | 2 Law St, Valley Stream, NY 11580-1018 | 2008-10-28 |
| 1952562001 | Diane Karen Johnson | Occupational Therapist | 175 Suncrest Rd, Talent, OR 97540-8686 | 2008-06-20 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1366643009 | Diane Karen Johnson | Physician Assistant | 955 Lowes Ln, Mt Vernon, TX 75457-9601 | 2007-05-30 |
| 1255546768 | Diane Elizabeth Johnson | Psychologist | 219 W Patison St, Port Hadlock, WA 98339-9710 | 2007-05-10 |
| Street Address |
5000 HIGHWAY 39 N |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
| 1245781616 | Primary Medical Services LLC | Family Medicine | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2016-10-20 |
| 1407107451 | Guillermo Hernandez Md Pllc | Behavioral Analyst | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2012-09-29 |
| 1225389273 | Jeffrey L Mcgilbra Md Pllc | Behavioral Analyst | 5000 Highway 39 N, Suite B, Meridian, MS 39301-1021 | 2012-09-29 |
| 1679843544 | Lauren Blair Holmes | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2012-01-09 |
| 1386893717 | Leigh Z Gillespie | Registered Nurse | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2008-09-10 |
| 1598933616 | Grace P Kelly Md | Psychologist | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2008-02-11 |
| 1215145222 | Jessica E Gordon | Psychiatry & Neurology | 5000 Highway 39 N, Meridian, MS 39301 | 2007-05-21 |
| 1932232931 | Alliance Health Center, Inc. | Psychiatric Residential Treatment Facility | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1386020592 | Evelyn Michele Dunn | Nurse Practitioner | 10641 Highway 80 East, Meridian, MS 39307-9256 | 2015-08-11 |
| 1174909865 | Priscilla May Mathis | Nurse Practitioner | 4973 C A Pickard Rd, Meridian, MS 39301-9031 | 2015-08-04 |
| 1134497464 | Rebekah Danielle Nation | Nurse Practitioner | 1404 N Main St, Suite 101, Meridian, ID 83642-2799 | 2011-12-01 |
| 1053691980 | Carrie Kay Bowman | Nurse Practitioner | 1944 N Hillmont Ave, Meridian, ID 83646-1385 | 2011-08-23 |
| 1700865235 | Stacy Rae Andreacchio | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| 1205461167 | Portia Elaine Nunley | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301-8205 | 2020-03-10 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in MERIDIAN | ||||
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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.