KRISTY ANN JOHNSON (NPI# 1437279965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437279965 |
| Entity Type | Individual |
| Full Name | KRISTY ANN JOHNSON |
| Practice Address |
1700 Mchenry Village Way # 11 Modesto CA 95350-4308 |
| Mailing Address |
539 Colorado Ave Turlock CA 95380-4110 |
| Practice Telephone | 2095261476 |
| Practice Fax Number | 2095260908 |
| Mailing Telephone | 2095350739 |
| Mailing Fax Number | 2095260908 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304796 | Kristy M. Johnson | Counselor | 3623 Chellen Dr, Farmers Branch, TX 75234-6623 | 2020-07-27 |
| 1083143424 | Kristy Rose Johnson | Counselor | 575 N Huckaby St, Church Point, LA 70525 | 2017-06-08 |
| 1679909212 | Kristy Lynn Johnson | Dentist | 1112 Liberty Park Loop, Vestavia, AL 35242-7551 | 2013-09-14 |
| 1841544996 | Kristy Johnson | Chiropractor | 621 E Campbell Ave Ste 10b, Campbell, CA 95008-2134 | 2012-10-27 |
| 1942855028 | Kristy Johnson | Physical Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2019-08-06 |
| 1932634904 | Kristy Johnson | Behavior Technician | 421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792 | 2017-04-26 |
| 1588101448 | Kristy Johnson | Nurse Practitioner | 853 N Church St, Suite 620, Spartanburg, SC 29303-3098 | 2017-01-30 |
| 1487080503 | Kristy Johnson | Counselor | 8915 Harry Hines Blvd, Dallas, TX 75235-1717 | 2013-09-20 |
| 1174874366 | Kristy D. Johnson | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416-8153 | 2012-09-27 |
| 1073825527 | Kristy Marie Johnson | Pharmacist | 435 E Broadway, Salem, NJ 08079-1234 | 2010-07-12 |
| Street Address |
1700 MCHENRY VILLAGE WAY # 11 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538202635 | Tom Ferenczik Peters | Counselor | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-02-15 |
| 1386814929 | Denise Jawad | Counselor | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2008-03-11 |
| 1760665061 | Joseph Marquette | Counselor | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-12-10 |
| 1669677308 | Alice Mcintyre-poulson | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-06-20 |
| 1851411599 | Stacy Kumar | Marriage & Family Therapist | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-03-29 |
| 1447379870 | Ana Pinedo | Case Manager/Care Coordinator | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-03-28 |
| 1194844290 | Jamie Diane Enos | Counselor | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-03-28 |
| 1326165770 | Valerie Ann Karn | Counselor | 1700 Mchenry Village Way # 11, Modesto, CA 95350-4308 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168219 | Kourosh Mehrazar | Student in an Organized Health Care Education/Training Program | 1405 Villette Ct, Modesto, CA 95356-8904 | 2019-05-02 |
| 1609439793 | Sylvia Margarita Castro | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave # 102, Modesto, CA 95350-4404 | 2019-04-15 |
| 1427518422 | Maham Rehman | Student in an Organized Health Care Education/Training Program | 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 | 2019-03-25 |
| 1609334929 | Yaira Denis Aguilar | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 | 2019-03-05 |
| 1346727922 | Jorge Anguiano | Student in an Organized Health Care Education/Training Program | 821 Crippen Ave, Modesto, CA 95351-7700 | 2018-07-26 |
| 1740796648 | Paloma Angelica Parra | Student in an Organized Health Care Education/Training Program | 1400 K St Ste I, Modesto, CA 95354-1018 | 2017-12-15 |
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1326575002 | Rim Amare Gebremariam | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 | 2017-05-12 |
| 1023557543 | Jasmine Dominique Brooks | Student in an Organized Health Care Education/Training Program | 2521 Pescadero Pl, Modesto, CA 95355-3439 | 2017-02-16 |
| 1225408412 | Raman Benjamin | Student in an Organized Health Care Education/Training Program | 2800 Wind River Ct, Modesto, CA 95356-9383 | 2015-09-30 |
| Find all providers in MODESTO | ||||
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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.