MRS. TERESA A. JOHNSON (NPI# 1326179920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326179920 |
| Entity Type | Individual |
| Full Name | MRS. TERESA A. JOHNSON |
| Credential | NP |
| Practice Address |
353 New Shackle Island Rd. Ste. 122b Hendersonville TN 37075 |
| Practice Telephone | 6153082822 |
| Practice Fax Number | 6155907716 |
| Mailing Telephone | 6153082822 |
| Mailing Fax Number | 6155907716 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APN12528 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 12528 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN12528 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN12528 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL DEA CERTIFICATE | MJ1545714 | 01 | |
| TN | STATE LICENSE | 12528 | 01 |
| KY | KENTUCKY APRN LICENSE | 3009077 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5651 Frist Blvd Ste 712, Hermitage, TN 370762061 | 6158729966 | 6158729967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291500 | Teresa Michelle Johnson | Counselor | 2850 Virgilina Rd, Roxboro, NC 27574-8226 | 2020-09-25 |
| 1942772033 | Teresa Ann Johnson I | Technician | 1220 Ederle St E, Lehigh Acres, FL 33974-3703 | 2018-12-30 |
| 1629579644 | Teresa Johnson | Massage Therapist | 10502 118th St, Davenport, IA 52804-9568 | 2018-02-25 |
| 1194244525 | Teresa Ann Johnson | Counselor | 8853 Greenhaven Dr, Fort Worth, TX 76179-2913 | 2017-09-18 |
| 1295141182 | Teresa Marie Johnson | Social Worker | 15 Lasalle Ave, # 108, Kenmore, NY 14217-2641 | 2014-07-11 |
| 1184037681 | Teresa Anne Johnson | Nurse Practitioner | 105 N Grand St Ste 2, Greenfield, MO 65661-8198 | 2014-06-03 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1750631057 | Teresa L Johnson | Psychologist | 5 Market St, Suite 3, Portsmouth, NH 03801-3752 | 2012-09-13 |
| 1194072611 | Teresa Johnson | Durable Medical Equipment & Medical Supplies | 103 S Lane St, Blissfield, MI 49228-1207 | 2012-08-14 |
| 1982924569 | Teresa Johnson | Physical Therapist | 6630 Roxburgh Dr Ste 171, Houston, TX 77041-5217 | 2010-06-07 |
| Street Address |
353 NEW SHACKLE ISLAND RD. STE. 122B |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568736650 | Rebekah Ruth Pierce | Registered Nurse | 353 New Shackle Island Rd. Ste. 122b, Hendersonville, TN 37075 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756824 | Deishia Warren | Nurse Practitioner | 245 Indian Lake Blvd Apt E204, Hendersonville, TN 37075-6326 | 2020-09-28 |
| 1093320715 | Tajsier Hughes | Nurse Practitioner | 196 Breakwater Dr, Hendersonville, TN 37075-5679 | 2020-09-10 |
| 1881206282 | Alex John Morsey | Nurse Practitioner | 100 Indian Lake Rd, Hendersonville, TN 37075-3821 | 2020-08-18 |
| 1063023729 | Courtney Frensley | Nurse Practitioner | 102 Indian Lake Rd, Hendersonville, TN 37075-3821 | 2020-08-14 |
| 1588295471 | Heather Kristen Truelove | Nurse Practitioner | 109 Meadow Lake Dr, Hendersonville, TN 37075-5533 | 2020-01-29 |
| 1518506369 | Caroline Mauldin | Nurse Practitioner | 353 New Shackle Island Rd Ste 140c, Hendersonville, TN 37075-2366 | 2019-12-26 |
| 1760959423 | Windy Michelle Rhoton | Nurse Practitioner | 127 Herons Nest Ln, Hendersonville, TN 37075-4760 | 2018-10-30 |
| 1871084442 | Charly Lynn Taylor | Nurse Practitioner | 264 New Shackle Island Rd Ste 107, Hendersonville, TN 37075-2481 | 2018-05-19 |
| 1518457647 | Nicole Dyanne Mumford | Nurse Practitioner | 109 Hazel Path Ste 7, Hendersonville, TN 37075-3888 | 2018-05-14 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on MRS. TERESA A. 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.