MARY JOHNSON (NPI# 1477642189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477642189 |
Entity Type | Individual |
Full Name | MARY JOHNSON |
Credential | R.N. |
Practice Address |
3865 S Mackinac Trl Sault Sainte Marie MI 49783-9286 |
Practice Telephone | 9066322805 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
4704238873 | MI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS | 7509104110 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
Street Address |
3865 S MACKINAC TRL |
City | SAULT SAINTE MARIE |
State | MI |
Zip Code | 49783-9286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629161567 | Hiawatha Community Behavioral Health Authority | Community/Behavioral Health | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2006-10-02 |
1336758689 | Austin Lowes | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-07-23 |
1598381394 | Kayla Davis | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-06-18 |
1699313163 | Colton Korhonen | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-16 |
1013555895 | Aubree Archer | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-12 |
1235776527 | Natalie Olstrom | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-05 |
1497392799 | Haley Brown | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-05 |
1548736176 | Bonita Bundy | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-10-22 |
1154811032 | Bradley Benslow | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-05-16 |
1073024907 | Caroline Jeannette Keller | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-10-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
Find all providers in zip 49783 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598381394 | Kayla Davis | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-06-18 |
1699313163 | Colton Korhonen | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-16 |
1548736176 | Bonita Bundy | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-10-22 |
1154811032 | Bradley Benslow | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-05-16 |
1588025241 | Sarah Lackey | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2016-03-09 |
1578975918 | Ressie Stranaly | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2014-05-20 |
1891038378 | Christopher T Baker | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2013-04-03 |
1558637322 | Caitlyn M Carter | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2012-03-27 |
1477871978 | John Gilbert | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2010-05-07 |
1780862060 | Renee Kalchik | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2008-02-08 |
Find all providers in SAULT SAINTE MARIE |
City | SAULT SAINTE MARIE |
Zip Code | 49783 |
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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.