HANNAH JOHNSON (NPI# 1427429620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427429620 |
| Entity Type | Individual |
| Full Name | HANNAH JOHNSON |
| Other Name | HANNAH MOORE |
| Credential | PA-C |
| Practice Address |
4359 New Shepherdsville Rd Unit 245 Bardstown KY 40004-8004 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 5023505492 |
| Practice Fax Number | 5023505822 |
| Mailing Telephone | 6063307835 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2044 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TC438 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100386810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459086 | Hannah Elizabeth Johnson | Specialist/Technologist | 205 Turtlewood Dr, League City, TX 77573-5221 | 2020-08-24 |
| 1477182053 | Hannah Grace Johnson | Physician Assistant | 3437 Chicago Ave, Minneapolis, MN 55407-2107 | 2020-04-05 |
| 1033746508 | Hannah Johnson | Military Health Care Provider | 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 | 2020-03-25 |
| 1790324051 | Hannah Katherine Johnson | Behavioral Analyst | 356 Franklin St, Harrisonburg, VA 22801-4263 | 2020-01-03 |
| 1972167500 | Hannah Johnson | Student in an Organized Health Care Education/Training Program | 137 Woodpond Rd, West Hartford, CT 06107-3540 | 2019-04-29 |
| 1518411834 | Hannah F Johnson | Massage Therapist | 2002 7th Ave W Apt 6, Bradenton, FL 34205-5840 | 2016-08-04 |
| 1639578032 | Hannah E. Johnson | Speech-Language Pathologist | 402 Cedar Ridge Dr, Branson, MO 65616-8143 | 2014-08-21 |
| 1881295269 | Hannah Amanda Johnson | Dermatology | 7642 Belair Rd, Nottingham, MD 21236-4088 | 2020-11-03 |
| 1093321614 | Hannah Kateri Johnson | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-18 |
| 1053926113 | Hannah Michelle Johnson | Physical Therapist | 406 E Mountain View Rd, Johnson City, TN 37601-1298 | 2020-09-14 |
| Street Address |
4359 NEW SHEPHERDSVILLE RD UNIT 245 |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376956516 | David Gerard Demar Sr. | Physician Assistant | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558666941 | Lisa Elaine Knipp | Physician Assistant | 72 Little Current Trl, Corbin, KY 40701-8535 | 2011-01-17 |
| 1366675886 | Meadow Creek Surgical Plc | Physician Assistant | 1420 Millertown Rd, Rockholds, KY 40759-7640 | 2009-09-01 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1235305905 | Michelle Denise Cole | Physician Assistant | 3240 Mount Moriah Ave, Owensboro, KY 42303-7805 | 2008-05-02 |
| 1629275011 | Beverly A. Hatcher | Physician Assistant | 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 | 2007-06-28 |
| 1639374465 | Neurosurgical Associates of Western Kentucky, Psc | Physician Assistant | 225 Medical Center Dr Ste 401, Paducah, KY 42003-7914 | 2007-06-20 |
| 1255463196 | Robert Louis Boden | Physician Assistant | 320 Skyview Dr, Paris, KY 40361-1039 | 2007-03-09 |
| 1043345358 | Professional Surgical Assistants, Inc. | Physician Assistant | 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 | 2007-02-23 |
| 1124161609 | Linda Mae Moran | Physician Assistant | 275 Wedgewood Place, Paducah, KY 42001 | 2007-02-15 |
| 1689710980 | Aimee Lynne Jaquez | Physician Assistant | 208 Chippewa Dr, Apt 106, Bowling Green, KY 42103-1378 | 2007-01-30 |
| 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.