NICOLE JOHNSON (NPI# 1265832679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265832679 |
| Entity Type | Individual |
| Full Name | NICOLE JOHNSON |
| Credential | LMT |
| Practice Address |
430 Barron Blvd Grayslake IL 60030-1666 |
| Practice Telephone | 8475484800 |
| Mailing Telephone | 8475484800 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227010219 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188991 | Nicole Lynn Johnson | Occupational Therapist | 2616 Overlake Ave, Orlando, FL 32806-7353 | 2020-06-11 |
| 1861015893 | Nicole Johnson | Registered Nurse | 5794 193rd St W, Farmington, MN 55024-9579 | 2020-05-26 |
| 1255969705 | Nicole Rochshel Johnson | Home Health Aide | 4045 Regina Coeli Ct, Marrero, LA 70072-6354 | 2020-03-31 |
| 1942859038 | Nicole Johnson | Developmental Therapist | 7355 13th Ave Nw, Seattle, WA 98117-5306 | 2019-09-10 |
| 1053974360 | Nicole Johnson | Student in an Organized Health Care Education/Training Program | 28741 Appletree, Mission Viejo, CA 92692-1088 | 2019-04-22 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 1295228310 | Nicole Marie Johnson | Technician | 2807 Douglass Pl Se, Washington, DC 20020-4420 | 2018-06-13 |
| 1922512078 | Nicole Johnson | Occupational Therapy Assistant | 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 | 2017-11-28 |
| 1083133490 | Nicole Rebecca Liu Johnson | Psychologist | 20826 2nd Ave W, Lynnwood, WA 98036-7256 | 2017-09-18 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| Street Address |
430 BARRON BLVD |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275966418 | Restorative Health Center Sc | Physical Medicine & Rehabilitation | 430 Barron Blvd, Grayslake, IL 60030-1666 | 2013-08-12 |
| 1437609955 | Jonathan Flaksman | Dentist | 430 Barron Blvd, Grayslake, IL 60030-1666 | 2016-10-07 |
| 1316399876 | Bright Smile Dental | Dentist | 430 Barron Blvd, Grayslake, IL 60030-1666 | 2016-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897478 | Lisa M Kristoffersen | Massage Therapist | 11 S Lake St # 3, Grayslake, IL 60030-1511 | 2013-09-10 |
| 1649524786 | Markay Chamberlain | Massage Therapist | 12 Cat Schooner Ln, Grayslake, IL 60030-2637 | 2012-10-26 |
| 1356626410 | Hetty M. Macdowell | Massage Therapist | 33050 N Indian Ln, Grayslake, IL 60030-2123 | 2011-10-19 |
| 1346859477 | Modern Athlete Physical Therapy LLC | Massage Therapist | 1033 Progress Dr, Grayslake, IL 60030-1672 | 2020-07-24 |
| 1437559572 | Lisa Feder | Massage Therapist | 419 Center St, Grayslake, IL 60030-1645 | 2014-08-26 |
| 1548660657 | Krystyna Mastalerz | Massage Therapist | 419 Center St, Grayslake, IL 60030-1645 | 2014-08-26 |
| 1831599091 | Susan Mcelroy | Massage Therapist | 419 Center St, Grayslake, IL 60030-1645 | 2014-08-25 |
| 1417357674 | Krystine Bird | Massage Therapist | 419 Center St, Suite B, Grayslake, IL 60030-1645 | 2014-08-25 |
| 1760882922 | Lindsay Daun | Massage Therapist | 419 Center St, Suite B, Grayslake, IL 60030-1645 | 2014-08-25 |
| 1831443100 | Ann Torp | Massage Therapist | 34121 N Us Highway 45, Ste 202, Grayslake, IL 60030-1768 | 2012-11-07 |
| Find all providers in GRAYSLAKE | ||||
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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.