ANTOINE JOHNSON (NPI# 1316545379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316545379 |
| Entity Type | Individual |
| Full Name | ANTOINE JOHNSON |
| Practice Address |
846 N 63rd St Philadelphia PA 19151-3443 |
| Practice Telephone | 1215388533 |
| Mailing Telephone | 1215388533 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 852373 | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326380916 | Antoine C Johnson | Counselor | 4292 Memorial Dr Ste C, Decatur, GA 30032-1224 | 2013-03-21 |
| 1679730709 | Antoine Gerard Johnson | Dentist | 8860 Columbia 100 Pkwy Ste 308, Columbia, MD 21045-2298 | 2008-05-16 |
| 1639136294 | Antoine D Johnson | Family Medicine | 105 W. 4th Street, Aberdeen, WA 98520 | 2006-04-27 |
| 1588279053 | Antoine Johnson | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-11 |
| 1902422777 | Antoine Lee Johnson | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-06-17 |
| Street Address |
846 N 63RD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19151-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860145 | Antonio Mayhew | Home Health | 1244 N 64th St, Philadelphia, PA 19151 | 2020-04-21 |
| 1477078913 | Nikisha Davis | Marriage & Family Therapist | 7621 Brookhaven Road, Philadelphia, PA 19151 | 2017-08-05 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1922413186 | My Community My Way | Day Training, Developmentally Disabled Services | 1715 North Felton Street, Philadelphia, PA 19151 | 2014-06-26 |
| 1245670033 | Harcum Healthcare Group, LLC | Home Health | 7401 Woodbine Avenue, Philadelphia, PA 19151 | 2013-06-26 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1053632547 | Nalini Venkateswaran | Pharmacist | 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 | 2010-06-18 |
| 1740494533 | Suburban Rehabilitation Associates, LLC | Orthopaedic Surgery | 7225 Haverford Avenue, Philadelphia, PA 19151 | 2007-05-10 |
| 1902027741 | Ndeye Aissatou Lo | Pharmacist | 7564 Haverford Ave, Philadelphia, PA 19151 | 2007-05-01 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| Find all providers in zip 19151 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783943 | Jessica Elease Elam | Peer Specialist | 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 | 2019-11-06 |
| 1932562790 | Maurice Peay | Peer Specialist | 2243 Simon St, Philadelphia, PA 19137-1311 | 2016-03-30 |
| 1689236739 | Jason Williams | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1023670171 | Virginia Vitella | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1225690373 | Jose Deleon Deleon | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1134640014 | Sherrie Crane | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-06-30 |
| 1851832000 | Warren Shuler | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1639610884 | Jennifer Desmond | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1295276434 | James Gaither | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1194266346 | Lolita Rogers | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19151 |
Please comment or provide details below to improve the information on ANTOINE 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.