AMANDA KUULA-JOHNSON


Address: 58337 Thomas Dr, New Haven, MI 48048-3326
Phone: 5866123732

AMANDA KUULA-JOHNSON (NPI# 1295146215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295146215
Entity Type Individual
Full Name AMANDA KUULA-JOHNSON
Credential RN, DNP
Practice Address 58337 Thomas Dr
New Haven
MI 48048-3326
Mailing Address 58337 Thomas Dr
New Haven
MI 48048
Practice Telephone 5866123732
Mailing Telephone 5866123732
Enumeration Date 2014-05-13
Last Update Date 2014-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704205110 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 58337 THOMAS DR
City NEW HAVEN
State MI
Zip Code 48048-3326

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1659352409 Kimberly H Thompson Family Medicine 58144 Gratiot Ave, New Haven, MI 48048 2005-11-09
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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NPI Name Taxonomy Address Enumeration
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1922584549 Kathryn Dzurilla Nurse Practitioner 20 York St. Cb-2041, New Haven, CT 06510-3220 2018-07-17
1679835086 Ear Nose & Throat Medical and Surgical Group, LLC Nurse Practitioner 46 Prince St Ste 601, New Haven, CT 06519-1634 2012-06-12
1619275567 Laura Ann Tipping Wilhelm Nurse Practitioner 675 Townsend Ave, New Haven, CT 06512-3101 2011-03-02
1154492015 Ranbir Bains Nurse Practitioner 1460 Chapel St, New Haven, CT 06519-1233 2006-11-13
1699729475 Dorothea Smith Nurse Practitioner 2 Church St., New Haven, CT 06519 2006-05-19
1578524641 Debra Faye Danzinger Nurse Practitioner 323 Center St, New Haven, KY 40051-6319 2006-03-29
1821090507 Robin Lee Phillips Nurse Practitioner 20 York Street, Cb-2041, New Haven, CT 06510-3220 2005-08-12
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Competitor

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City NEW HAVEN
Zip Code 48048

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Dataset Information

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.

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