MELANIE M. JOHNSON (NPI# 1205166881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205166881 |
| Entity Type | Individual |
| Full Name | MELANIE M. JOHNSON |
| Credential | PA-C |
| Practice Address |
194 Missile Ave Minot Afb ND 58705 |
| Practice Telephone | 7017235190 |
| Mailing Telephone | 7017235444 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512328 | Melanie Johnson | Home Health Aide | 6637 Ambar Ave, Cincinnati, OH 45230-2822 | 2020-09-11 |
| 1508373788 | Melanie Laura Johnson | Social Worker | 614 Staffordshire Ln, Vestavia, AL 35226-3409 | 2018-01-09 |
| 1356891808 | Melanie M Johnson | Pharmacist | 621 Eaglewood Dr, Rexburg, ID 83440-5253 | 2016-10-08 |
| 1306223292 | Melanie Johnson | Social Worker | 4123 Geronimo Lake Dr, Houston, TX 77047-6737 | 2015-04-30 |
| 1659707081 | Melanie Johnson | Counselor | 71 Kilsyth Rd, 7, Boston, MA 02135-7826 | 2013-09-17 |
| 1154646834 | Melanie Ann Johnson | Counselor | 4101 Perimeter Center Dr. Ste. 250, Okc, OK 73112 | 2010-04-06 |
| 1154540797 | Melanie S Johnson | Acupuncturist | 12278 E Colonial Dr Ste 400, Orlando, FL 32826-4734 | 2007-04-24 |
| 1871574475 | Melanie Ann Johnson | Social Worker | 522 Belvedere Dr, Suite 104, Kokomo, IN 46901-5627 | 2005-11-10 |
| 1053938704 | Melanie Johnson | Physical Therapist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-06-29 |
| 1497396725 | Melanie M Johnson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-10-08 |
| Street Address |
194 MISSILE AVE |
| City | MINOT AFB |
| State | ND |
| Zip Code | 58705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194759126 | Brianne Newman | Dietitian, Registered | 194 Missile Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2006-07-10 |
| 1316449705 | Erin Caroline | Dietitian, Registered | 194 Missile Ave, Minot Afb, ND 58704 | 2018-03-01 |
| 1689106320 | Priscilla Barrio | Student in an Organized Health Care Education/Training Program | 194 Missile Ave, Minot Afb, ND 58705 | 2017-03-31 |
| 1801201793 | 5th Medical Group | Pharmacy | 194 Missile Ave, Minot Afb, ND 58705-5008 | 2014-06-30 |
| 1184904237 | Deborah K Jones | Registered Nurse | 194 Missile Ave, Minot Afb, ND 58704 | 2011-08-22 |
| 1265731939 | Alexis Marie Paschal | Military Health Care Provider | 194 Missile Ave, Minot Afb, ND 58705-0000 | 2011-03-21 |
| 1902028285 | Audra Dee Myers | Dentist | 194 Missile Ave, Minot Afb, ND 58705-5024 | 2007-05-03 |
| 1275601320 | Matthew Duane Graham | Family Medicine | 194 Missile Ave, Minot Afb, ND 58705 | 2006-11-30 |
| 1144239740 | Benjamin Park | Family Medicine | 194 Missile Ave, Minot Afb, ND 58705 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265093900 | Coty Winn | Student in an Organized Health Care Education/Training Program | Minot Afb Medical Group, 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-24 |
| 1144717596 | Angela Kennedy | Social Worker | 5 Mdg 194 Missile Avenue, Minot Afb, ND 58705 | 2018-04-20 |
| 1386064780 | Desiree Avedon Aaron-barber | Licensed Practical Nurse | Minot Va Cboc, Minot Air Force Base, Minot, ND 58705 | 2014-04-24 |
| 1366771644 | Melanie Renee Roserie | Social Worker | 194 Missile Avenue, Minot Afb - 5 Mdg Mental Health Clinic, Minot, ND 58705 | 2009-12-15 |
| 1255565289 | Javier Alberto Padial | Pediatrics | 194 Missle Ave., Minot Afb, Apo, AA 58705 | 2009-05-05 |
| 1184694127 | Michelle Joy Fundingsland | Dietitian, Registered | 201 Missile Ave, Minot Afb, ND 58705 | 2006-01-24 |
| 1306404645 | Yongke Tan | Pharmacist | 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-02 |
| 1649605072 | Jared Jon Solomon | Psychiatry & Neurology | 10 Missile Ave, Minot Afb, ND 58705 | 2013-09-04 |
| 1881953602 | Casey Simon Brock | Physician Assistant | 194 Missile Avenue, Minot Air Force Base, ND 58705 | 2012-05-14 |
| 1518257187 | Edward Michael Schmitt | Family Medicine | 5th Medical Group, 194 Missile Ave, Minot Afb, ND 58705 | 2011-04-15 |
| Find all providers in zip 58705 | ||||
| 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 |
|---|---|---|---|---|
| 1497354005 | Jessica Lynn O'neal | Physician Assistant | 112 Roaming Rd Apt 1, Minot Afb, ND 58704-1221 | 2020-10-23 |
| 1205350279 | Jillian Clyburn | Physician Assistant | 5th Medical Group, Bldg #194, 10 Missile Ave, Minot Afb, ND 58704 | 2017-08-01 |
| 1538142682 | Jacqueline Coleen Hjelmstad | Physician Assistant | 5th Medical Group, 10 Missile Ave, Minot Afb, ND 58704 | 2005-11-22 |
| 1093142275 | Aaron D Geyer | Physician Assistant | 10 Missile Ave, Minot Afb, ND 58705-5003 | 2013-10-02 |
| 1033491121 | Patrick Mccue | Physician Assistant | 10 Missile Ave, Minot Afb, ND 58705-5003 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473764 | Larissa Ann Haug | Physician Assistant | 1200 Roberts Avenue Ne, Cooperstown, ND 58425-7101 | 2018-07-02 |
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1629449418 | Ashton Leigh Hedger | Physician Assistant | 1001 7th St. Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2015-10-19 |
| 1831430644 | Danielle Rae Anderson | Physician Assistant | 401 N 9th St # T, Bismarck, ND 58501-4530 | 2013-03-05 |
| 1174895833 | Kacie M Brown | Physician Assistant | 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204-1378 | 2012-01-27 |
| 1306123435 | Jamelle Lelito | Physician Assistant | 310 N 9th St Ste 1, Bismarck, ND 58501-4515 | 2011-11-03 |
| 1295069664 | Megan Jean Boose | Physician Assistant | 3173 43rd St S Ste A, Fargo, ND 58104-4564 | 2009-10-01 |
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MELANIE M. 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.