DR. LISABETH EMERSON JOHNSTON (NPI# 1306909601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306909601 |
| Entity Type | Individual |
| Full Name | DR. LISABETH EMERSON JOHNSTON |
| Other Name | LISABETH EMERSON FENDERS |
| Credential | PHD APRN |
| Practice Address |
361 Park Road West Hartford CT 06119 |
| Mailing Address |
145 Whiting Lane West Hartford CT 06119 |
| Practice Telephone | 8605231101 |
| Practice Fax Number | 8602334305 |
| Mailing Telephone | 8602334305 |
| Mailing Fax Number | 8602334305 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
000355 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PACIFICARE | 692201 | 01 | |
| OXFORD | P2742846 | 01 | |
| HEALTH NET | ZA8706 | 01 | |
| BLUE CROSS & BLUE SHIELD | 400000355CT03 | 01 | |
| AETNA | 0004645744 | 01 | |
| VALUE OPTIONS | 135998 | 01 | |
| UNITED BEHAVIORAL HEALTH | 6197478 | 01 | |
| DEA | MJ0017562 | 01 | |
| MHN | 168777 | 01 |
| Street Address |
361 PARK ROAD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072073 | Patricia D. Barry, Phd, Aprn, LLC | Clinical Nurse Specialist | 60 Linnard Rd, West Hartford, CT 06107-1234 | 2008-08-12 |
| 1073531794 | Jacqueline Kay Cantor | Clinical Nurse Specialist | 805 Farmington Ave, 2nd Fl., West Hartford, CT 06119 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336262989 | Cara Marie Bartos | Clinical Nurse Specialist | 152 Simsbury Road, Building 9, Avon, CT 06001 | 2007-04-09 |
| 1669519724 | Linda Noll Demas | Clinical Nurse Specialist | 8 Ridge Dr, Old Saybrook, CT 06475-4227 | 2007-01-30 |
| 1083769590 | Nicholas Roy Gilbert | Clinical Nurse Specialist | 152 Simsbury Rd, Building 9, 2nd Floor, Avon, CT 06001-3777 | 2007-01-24 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1326058926 | Colleen Mcdermott | Clinical Nurse Specialist | 151 Hazard Ave Suite 4, Johnson Professional Associates, Enfield, CT 06082 | 2006-08-08 |
| 1205842127 | Arlene Dumais | Clinical Nurse Specialist | 402 Long Hill Rd, Groton, CT 06340-3811 | 2006-07-31 |
| 1598787087 | Brian Geyser | Clinical Nurse Specialist | 51 Old Village Cir, Wallingford, CT 06492-4821 | 2006-07-24 |
| 1275553562 | Debra Ann Santos | Clinical Nurse Specialist | 282 Durham Rd, Madison, CT 06443-2454 | 2006-07-20 |
| 1073552865 | Diane M Bray | Clinical Nurse Specialist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2006-06-06 |
| 1205818366 | Lorraine E Scibek | Clinical Nurse Specialist | 226 Dixwell Ave, New Haven, CT 06511-3456 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on DR. LISABETH EMERSON JOHNSTON.
| 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.