KJERSTEN JOHNSEN (NPI# 1407172588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172588 |
| Entity Type | Individual |
| Full Name | KJERSTEN JOHNSEN |
| Credential | APN |
| Practice Address |
290 Pleasant St 102 Watertown MA 02472-2427 |
| Practice Telephone | 6175719221 |
| Mailing Telephone | 6175719221 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN17902 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
290 PLEASANT ST 102 |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| 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 |
|---|---|---|---|---|
| 1497376909 | Sharon A Chatterton Pmhcns Bc LLC | Clinical Nurse Specialist | 175 Walpole St Unit 2, Norwood, MA 02062-3230 | 2020-05-06 |
| 1336787498 | Frieda Albertini Duffy | Clinical Nurse Specialist | 906d Ridgefield Cir, Clinton, MA 01510-1448 | 2019-12-19 |
| 1184269201 | David John Becker | Clinical Nurse Specialist | 110 Stuart St Unit 18h, Boston, MA 02116-5668 | 2019-11-13 |
| 1770131252 | Advanced Psychiatric Services LLC | Clinical Nurse Specialist | 1 Union Pl Ste 101, Dedham, MA 02026-4437 | 2019-08-28 |
| 1235691304 | Laurie Zelas Private Practice LLC | Clinical Nurse Specialist | 2 Summer St Ste 16, Natick, MA 01760-4529 | 2019-04-05 |
| 1184199630 | Rose Paolini, LLC | Clinical Nurse Specialist | 100 Laurel St, East Bridgewater, MA 02333-1846 | 2018-10-11 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1548706831 | Mary Foley | Clinical Nurse Specialist | 5 Bristol Dr Ste 1b, South Easton, MA 02375-1917 | 2017-01-11 |
| 1366691446 | Beverley Scannell | Clinical Nurse Specialist | 139 Mechanic St, Suite 2, Bellingham, MA 02019-1690 | 2008-09-15 |
| 1104093806 | Judith Toby Israel | Clinical Nurse Specialist | 234 Copeland St Fl 3, Mass Bay Counseling, Quincy, MA 02169-4005 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
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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.