NICOLE LEE JOHNSON (NPI# 1336603109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336603109 |
| Entity Type | Individual |
| Full Name | NICOLE LEE JOHNSON |
| Credential | LPN |
| Practice Address |
11531 Sunderland Rd Marion IL 62959-8274 |
| Mailing Address |
4713 Elkville Rd Vergennes IL 62994-1805 |
| Practice Telephone | 6182019907 |
| Mailing Telephone | 6182019907 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043120707 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TAXONOMY CODE | 164W00000X | 01 |
| IL | DRIVERS LICENSE | J52563291734 | 01 |
| 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 |
11531 SUNDERLAND RD |
| City | MARION |
| State | IL |
| Zip Code | 62959-8274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154870608 | Mariann Renee Cook | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2016-09-26 |
| 1235746892 | Jasmine Danae Scott | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2020-09-28 |
| 1508478983 | Krystal Willey | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2020-08-18 |
| 1326664764 | Jaclyn Sisk | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2020-06-22 |
| 1699310359 | Samantha J Rowe | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2019-11-16 |
| 1518435577 | Drew Ashton Walsh | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2018-11-07 |
| 1528542636 | Logan Scott Holland | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2018-09-24 |
| 1609350107 | Jamie Heibner | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2018-09-20 |
| 1679052401 | Krista Kay Falaster | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2018-08-13 |
| 1790294296 | Nicholle Ariana Clark | Licensed Practical Nurse | 11531 Sunderland Rd, Marion, IL 62959-8274 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493390 | Mary (niki) Williams | Licensed Practical Nurse | 133 E Center St, Marion, OH 43302-3801 | 2019-08-23 |
| 1033774690 | Deedee Wilfong | Licensed Practical Nurse | 708 E Bradford St, Marion, IN 46952-2959 | 2019-05-08 |
| 1033688692 | Megan Marie Dowdy | Licensed Practical Nurse | 520 Oak St, Marion, OH 43302-2207 | 2018-11-13 |
| 1295215374 | Andrew Vernon Easton II | Licensed Practical Nurse | 1143 Midway Ct Apt D, Marion, IL 62959-1591 | 2018-08-17 |
| 1114404100 | Brittni Horn | Licensed Practical Nurse | 1390 Bellefontaine Ave, Marion, OH 43302-7049 | 2018-07-23 |
| 1902325053 | Kimberly Throckmorton | Licensed Practical Nurse | 204 Bain Ave, Marion, OH 43302-4014 | 2017-09-10 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1124550314 | Carrie Kindred | Licensed Practical Nurse | 3114 Burris Dr, Marion, OH 43302-8608 | 2017-03-28 |
| Find all providers in MARION | ||||
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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.