KATHY L JOHNSON (NPI# 1194732131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194732131 |
| Entity Type | Individual |
| Full Name | KATHY L JOHNSON |
| Credential | LPAC |
| Practice Address |
1101 Medical Arts Ave Ne Suite 2 Senior Health Clinic Albuquerque NM 87102-2706 |
| Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052721754 |
| Practice Fax Number | 5059254594 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2003-0046 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1101 MEDICAL ARTS AVE NE SUITE 2 SENIOR HEALTH CLINIC |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078571 | Bart Cox | Internal Medicine | 1101 Medical Arts Ave Ne, Building 4, Suite A, Albuquerque, NM 87102-2706 | 2005-07-21 |
| 1528604956 | Mark Anthony Belill | Internal Medicine | 1101 Medical Arts Ave Ne, Albuquerque, NM 87102-2706 | 2019-11-20 |
| 1871049031 | Loni Higgins | Social Worker | 1101 Medical Arts Ave Ne, #3-300, Albuquerque, NM 87102-2706 | 2016-08-28 |
| 1104202605 | Julia Coryell | Social Worker | 1101 Medical Arts Ave Ne, Bldg 3, Albuquerque, NM 87102-2706 | 2015-08-06 |
| 1841671278 | Veronica Lopez | Nurse Practitioner | 1101 Medical Arts Ave Ne, Building 2, Albuquerque, NM 87102-2706 | 2015-06-11 |
| 1790182129 | Catiane Kamal-aldeen | Counselor | 1101 Medical Arts Ave Ne, Albuquerque, NM 87102-2706 | 2014-12-01 |
| 1699179119 | Alanna Dancis | Nurse Practitioner | 1101 Medical Arts Ave Ne, Building 4, Suite A, Albuquerque, NM 87102-2706 | 2014-10-13 |
| 1659770246 | Elizabeth Diesel | Social Worker | 1101 Medical Arts Ave Ne, Bldg 3-100, Albuquerque, NM 87102-2706 | 2014-08-19 |
| 1083013676 | Natty Plunkett | Counselor | 1101 Medical Arts Ave Ne, Bldge 3-100, Albuquerque, NM 87102-2706 | 2014-08-19 |
| 1083042063 | Robert Strickland | Counselor | 1101 Medical Arts Ave Ne, Bldg 3-100, Albuquerque, NM 87102-2706 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.