MANDY J JOHNSON (NPI# 1245406347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245406347 |
Entity Type | Individual |
Full Name | MANDY J JOHNSON |
Credential | WHNP |
Practice Address |
166 E 5900 S B-104 Murray UT 84107-7257 |
Mailing Address |
166 East 5900 South B-104 Murray UT 84107-7257 |
Practice Telephone | 8012651266 |
Practice Fax Number | 8012650755 |
Mailing Telephone | 8012651266 |
Mailing Fax Number | 8012650755 |
Enumeration Date | 2008-05-08 |
Last Update Date | 2008-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
362724-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285128173 | Mandy Johnson | Occupational Therapy Assistant | 206 Sw Taylor St, Burleson, TX 76028-3816 | 2018-06-14 |
1780759241 | Mandy Lynn Johnson | Dentist | 900 Wexler Ct, Virginia Beach, VA 23462-7456 | 2006-11-21 |
1679539274 | Mandy Jane Johnson | Optometrist | 220 W 39th Ave, Kearney, NE 68845 | 2006-04-22 |
1841368479 | Mandy M Johnson | Physician Assistant | 560 Jackson St N, Suite 100, St Petersburg, FL 33705-1405 | 2006-12-01 |
Street Address |
166 E 5900 S B-104 |
City | MURRAY |
State | UT |
Zip Code | 84107-7257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992221980 | Kirk Ronald Stephens | Dermatology | 166 E 5900 S, Murray, UT 84107-7257 | 2017-08-21 |
1861848673 | M L Christensen Dds PC | Dentist | 166 E 5900 S, Suite B101, Murray, UT 84107-7257 | 2016-05-11 |
1396982930 | R Ralph Bradley M D PC | Dermatology | 166 E 5900 S, B-111, Murray, UT 84107-7257 | 2009-01-20 |
1538344783 | Applegate Chiropractic LLC | Chiropractor | 166 E 5900 S, B107, Murray, UT 84107-7257 | 2008-01-07 |
1649462136 | Kirk Allen Applegate | Chiropractor | 166 E 5900 S, Suite B107, Murray, UT 84107-7257 | 2007-08-17 |
1104018696 | Leon Andre Erasmus | Chiropractor | 166 E 5900 S, Suite 107, Murray, UT 84107-7257 | 2007-08-17 |
1730390261 | Joseph Perry Martin | Optometrist | 166 E 5900 S, Suit B103, Murray, UT 84107-7257 | 2007-05-25 |
1689749061 | Mark L Christensen | Dentist | 166 E 5900 S, Suite 101, Murray, UT 84107-7257 | 2006-11-21 |
1437113339 | Janet Balbierz | Physical Medicine & Rehabilitation | 166 E 5900 S, Suite B-106, Murray, UT 84107-7257 | 2006-04-17 |
1992789465 | Robert M Payne | Family Medicine | 166 E 5900 S, Suite B-111, Murray, UT 84107-7257 | 2005-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912339078 | Melanie J Ward | Nurse Practitioner | 5063 S Cottonwood St Ste 120, Murray, UT 84107-6772 | 2013-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652290 | Angela M Jones | Nurse Practitioner | 7691 S Alida Dr, West Jordan, UT 84084-3889 | 2020-06-04 |
1275185845 | Jennifer Hewlett | Nurse Practitioner | 6775 S Meadow Downs Way, Cottonwood Heights, UT 84121-6073 | 2019-07-12 |
1538635628 | Sarah Sanns | Nurse Practitioner | 1486 E Skyline Dr Ste 201, Ogden, UT 84405-4877 | 2018-10-16 |
1770070260 | Eastern Utah Womens Health LLC | Nurse Practitioner | 77 S 600 E Ste B, Price, UT 84501-3174 | 2018-04-19 |
1720503881 | Jennifer Elaine Lazzara | Nurse Practitioner | 3592 W 9000 S Ste 210, West Jordan, UT 84088-8819 | 2017-08-10 |
1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
1902112600 | Cecily Light | Nurse Practitioner | 1167 Bryan Ave, Salt Lake City, UT 84105-2507 | 2010-08-19 |
1619160280 | Holly Danielle Stewart | Nurse Practitioner | 348 E 4500 S Ste 200, Salt Lake City, UT 84107-3936 | 2007-08-27 |
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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.