KELLY AMANDA JOHNSON (NPI# 1255783122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255783122 |
Entity Type | Individual |
Full Name | KELLY AMANDA JOHNSON |
Credential | MS, MPH |
Practice Address |
3410 Worth St Suite 760 Dallas TX 75246-2003 |
Practice Telephone | 2148209607 |
Practice Fax Number | 2148209606 |
Mailing Telephone | 2148209607 |
Mailing Fax Number | 2148209606 |
Enumeration Date | 2016-07-05 |
Last Update Date | 2016-07-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
Street Address |
3410 WORTH ST SUITE 760 |
City | DALLAS |
State | TX |
Zip Code | 75246-2003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336121565 | Jacqueline G O'leary | Internal Medicine | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2005-11-15 |
1619455839 | Bonnie Lucio | Physical Therapist | 3410 Worth St, Dallas, TX 75246-2003 | 2018-07-31 |
1831604917 | Elizabeth Marie Brown | Nurse Practitioner | 3410 Worth St, Dallas, TX 75246-2003 | 2017-12-11 |
1003357799 | Whitney Mcmullan Whiteley | Registered Nurse | 3410 Worth St, Suite 250, Dallas, TX 75246-2003 | 2017-03-14 |
1841744042 | Augusto Flores | Nurse Practitioner | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2016-08-05 |
1053760025 | Chelsey Burden | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-06-09 |
1154776243 | Debra Werley | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2016-04-26 |
1194197947 | Tiffany Bruno | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2015-10-20 |
1558732602 | Denise A Adams | Nurse Practitioner | 3410 Worth St, 9th Floor, Dallas, TX 75246-2003 | 2015-10-15 |
1366820805 | Minh-duong Tran | Pharmacist | 3410 Worth St, Dallas, TX 75246-2003 | 2015-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
Find all providers in zip 75246 |
Taxonomy Code | 170300000X |
Grouping | Other Service Providers |
Classification | Genetic Counselor, MS |
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043703713 | Kelsey Elizabeth Moriarty | Genetic Counselor, MS | 2201 Inwood Rd # 2, Dallas, TX 75235-7320 | 2018-06-07 |
1063891794 | Brian Reys | Genetic Counselor, MS | 2201 Inwood Dr, Dallas, TX 75390-9323 | 2015-05-27 |
1134531932 | Jillian Tietjen Huang | Genetic Counselor, MS | Ut Southwestern Simmons Cancer Ctr, 2201 Inwood Drive, Dallas, TX 75390-9161 | 2014-05-28 |
1902166671 | Caitlin Mauer | Genetic Counselor, MS | 2201 Inwood Dr., Simmons Comprehensive Cancer Center, Dallas, TX 75390-9161 | 2012-05-29 |
1013243054 | Heather Nicol Fecteau | Genetic Counselor, MS | 8196 Walnut Hill Ln Ste 120, Dallas, TX 75231-7007 | 2009-10-27 |
1902964224 | Linda Sue Robinson | Genetic Counselor, MS | Ut Southwestern Medical Center Simmons Cancer Ctr, 5323 Harry Hines Blvd., Dallas, TX 75390-0001 | 2006-12-06 |
1184613085 | Gail S. Brookshire | Genetic Counselor, MS | 1935 Motor St, Dallas, TX 75235-7701 | 2005-10-14 |
1023007747 | Karen B Heller | Genetic Counselor, MS | 2110 Research Row, Dallas, TX 75235-2519 | 2005-10-14 |
1275151276 | Amanda De Leon | Genetic Counselor, MS | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-07-07 |
1417477803 | John Zimmerman | Genetic Counselor, MS | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2017-06-26 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on KELLY AMANDA 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.