MS. REGINA RENEE JOHNSON


Address: 4301 Orchard Lake Rd Ste 180, West Bloomfield, MI 48323-1684
Phone: 3134925807

MS. REGINA RENEE JOHNSON (NPI# 1356781041) 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) 1356781041
Entity Type Individual
Full Name MS. REGINA RENEE JOHNSON
Other Name MS. REGINA RENEE WALLER
Credential NP
Practice Address 4301 Orchard Lake Rd Ste 180
West Bloomfield
MI 48323-1684
Practice Telephone 3134925807
Mailing Telephone 3134925807
Enumeration Date 2013-06-27
Last Update Date 2017-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704236041 MI Physician Assistants & Advanced Practice Nursing Providers

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1285966804 Regina Kay Johnson Mechanotherapist 225 Market St, Brookville, OH 45309-1818 2010-02-07

Office Location

Street Address 4301 ORCHARD LAKE RD STE 180
City WEST BLOOMFIELD
State MI
Zip Code 48323-1684

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235503301 James K. Uhes Occupational Therapist 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 2015-11-30
1700253283 Max Elder Specialist/Technologist 2387 Scotch Pine St, West Bloomfield, MI 48323 2015-08-31
1952792400 Michael Cataldo Technician, Other 6626 Torybrooke Ct, West Bloomfield, MI 48323 2015-02-05
1982944666 Steven Nathan Rives Internal Medicine 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 2013-02-18
1275871832 Detroit Medical Center Sinai Grace Hospital General Acute Care Hospital 3495 Pine Estates Drive, West Bloomfield, MI 48323 2013-01-16
1295090793 Advance Health Care System, LLC Massage Therapist 4267 Foxpoint, West Bloomfield, MI 48323 2012-07-10
1841566700 Eduardo Rivera Pathology 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 2012-03-26
1952611782 Debra Mary Gregory PC LLC Social Worker 7130 Walnut Lake Road, West Bloomfield, MI 48323 2010-10-14
1033362793 Alvin Yousif Daboul Dentist 2332 Hiller Road, West Bloomfield, MI 48323 2008-10-28
1386846574 Jerald B Maltzman Radiology 4744 Wendrick Dr, W. Bloomfield, MI 48323 2007-06-01
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497091631 Sandy Farida Nurse Practitioner 6814 Cottonwood Knl, West Bloomfield, MI 48322-3846 2012-12-17
1043201288 Dorota Meller Klenk Nurse Practitioner 6777 W. Maple Rd, Dept of Surgery, West Bloomfield, MI 48322 2005-11-04
1427692607 Jenna E Buchman Nurse Practitioner 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2019-10-31
1679135123 Justina A Nzums Nurse Practitioner 6773 W Maple Rd, West Bloomfield, MI 48322-3013 2019-07-05
1497218838 Monica Branam Nurse Practitioner 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2019-04-11
1942787668 Natalie Dumais Nurse Practitioner 6777 W Maple Rd, West Bloomfield, MI 48322 2018-07-25
1346736568 Gail S Elder-battle Nurse Practitioner 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2018-07-11
1932690120 Sarah Nicole Roberts Nurse Practitioner 6900 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3424 2018-05-23
1629575428 Madeline Virginia Teresa Robinson Nurse Practitioner 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2018-04-09
1740786110 Solakunmi Olubunmi Edevbie Nurse Practitioner 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2018-04-03
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Competitor

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City WEST BLOOMFIELD
Zip Code 48323

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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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