TYLER JOHNSON (NPI# 1205462934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205462934 |
| Entity Type | Individual |
| Full Name | TYLER JOHNSON |
| Practice Address |
159 Brentwood Dr Grass Valley CA 95945-5703 |
| Mailing Address |
Po Box 6028 Auburn CA 95604-6028 |
| Practice Telephone | 5302711140 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175002 | Tyler Johnson | Specialist/Technologist | 2627 E 2100 S, Salt Lake City, UT 84109-1370 | 2016-10-14 |
| 1679846281 | Tyler Elliot Johnson | Military Health Care Provider | 342 Dover Ct, Virginia Beach, VA 23454-4253 | 2012-02-13 |
| 1871878298 | Tyler Chase Johnson | Chiropractor | 4716 4th St, Suite 102, Lubbock, TX 79416-4900 | 2011-10-17 |
| 1831334929 | Tyler Johnson | Dentist | 1287 Carlsbad Village Dr, Carlsbad, CA 92008-1950 | 2008-12-04 |
| 1821164203 | Tyler Johnson | Chiropractor | 3127 Brady St, Johnson Chiropractic & Sports Injury Ste #4, Davenport, IA 52803-1233 | 2006-11-28 |
| 1235755281 | Tyler James Johnson | Family Medicine | 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 | 2020-06-24 |
| 1679100580 | Tyler Johnson | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-03-23 |
| 1275170201 | Tyler Johnson | Physical Therapist | 420 Walmart Way Ste B, Dahlonega, GA 30533-0818 | 2019-12-10 |
| 1154886794 | Tyler Johnson | Behavioral Analyst | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2019-02-07 |
| 1114499613 | Tyler Johnson | Occupational Therapist | 1715 Northfield Dr, Rochester Hills, MI 48309-3819 | 2018-12-20 |
| Street Address |
159 BRENTWOOD DR |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316168883 | Christine Findley | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2007-05-01 |
| 1063012748 | Sofia M Degruccio | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-30 |
| 1619576238 | Hayley R Corbin | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-23 |
| 1205435351 | Melinda O Hargraves | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-20 |
| 1699373571 | Amanda R Peebles | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-13 |
| 1124626346 | Scott J Della Maggiora | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-09 |
| 1598370561 | Nicole R Hickman | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-09-15 |
| 1053924027 | Savannah M Walker | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-08-28 |
| 1902433451 | Karen W Arnold | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-03-25 |
| 1184255150 | Brenda Woodward | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851870554 | Robert Wilson Coleman | Counselor | 256 Buena Vista St Ste 100, Grass Valley, CA 95945-7239 | 2018-08-13 |
| 1891945937 | Julia Conrad | Counselor | 16713 Lawrence Way, Grass Valley, CA 95949-7107 | 2008-09-25 |
| 1114149820 | Lori Haugen | Counselor | 303 Bennett St, Grass Valley, CA 95945-6804 | 2007-05-03 |
| 1316168883 | Christine Findley | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2007-05-01 |
| 1194946582 | John Thomas Madsen | Counselor | 440 Henderson St, Siute C, Grass Valley, CA 95945-7374 | 2007-05-01 |
| 1871714352 | Kathy Black | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2007-05-01 |
| 1487662979 | James Michael Sellars | Counselor | 180 Sierra College Dr., Grass Valley, CA 95945 | 2006-08-03 |
| 1063012748 | Sofia M Degruccio | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-30 |
| 1619576238 | Hayley R Corbin | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-23 |
| 1205435351 | Melinda O Hargraves | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-20 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on TYLER 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.