KELLIE JOHNSON (NPI# 1487192696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487192696 |
| Entity Type | Individual |
| Full Name | KELLIE JOHNSON |
| Practice Address |
1910 Arthur Ave Bronx NY 10457-6305 |
| Practice Telephone | 7184668961 |
| Mailing Telephone | 7184668961 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 302542 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871860817 | Kellie Simpson Johnson | Speech-Language Pathologist | 5106 W Running Brook Rd, Columbia, MD 21044-1522 | 2011-11-18 |
| 1750690004 | Kellie Diann Johnson | Licensed Vocational Nurse | 1412 15th St, Huntsville, TX 77340-4430 | 2010-10-05 |
| 1447307632 | Kellie Suzanne Johnson | General Practice | 2221 9th St Sw, Canton, OH 44706-1464 | 2007-01-03 |
| 1346337375 | Kellie Anita Johnson | Dentist | 815 E Berry St # B, Ft Worth, TX 76110-4414 | 2006-10-10 |
| 1235741331 | Kellie Lucille Johnson | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2020-08-19 |
| 1124553870 | Kellie Johnson | Occupational Therapist | 1301 Pierce Ave, Toronto, OH 43964-1015 | 2017-05-01 |
| 1689064321 | Kellie L Johnson | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2015-02-03 |
| 1689916447 | Kellie Marie Johnson | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2013-03-20 |
| 1750632089 | Kellie Renae Johnson | Specialist | 1315 Sw 6th Ave Ste B, Topeka, KS 66606-1582 | 2012-09-26 |
| 1396975553 | Kellie Nicole Johnson | Nurse Practitioner | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2009-07-22 |
| Street Address |
1910 ARTHUR AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194777482 | Emil A. Williams Jr. | Physician Assistant | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2006-05-16 |
| 1184280018 | Eric Iglesias | Counselor | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2019-05-16 |
| 1235795170 | Michael Nowlin | Counselor | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2019-05-16 |
| 1124597059 | Jennifer Frias | Social Worker | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2018-11-20 |
| 1164907515 | Brittany Sloat | Social Worker | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2018-10-02 |
| 1073098521 | Madeline A. Abreu | Social Worker | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2018-10-01 |
| 1497234504 | Raymond Toomer | Counselor | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2018-08-09 |
| 1659867182 | Damon Dorsey | Counselor | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2018-07-09 |
| 1487159547 | Fenesha Blanchard | Counselor | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2018-03-29 |
| 1023523867 | Christopher Harris Chambers Sr. | Counselor | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1780284661 | Tiffanny Rawlins | Licensed Practical Nurse | 4200 Bronxwood Ave, Bronx, NY 10466-3119 | 2020-10-29 |
| 1063012987 | Theresa Kukueley Okaikoi | Licensed Practical Nurse | 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 | 2020-10-29 |
| 1770182396 | Daouda Nikiema | Licensed Practical Nurse | 3477 Knox Pl Apt E, Bronx, NY 10467-2051 | 2020-10-23 |
| 1811596000 | Nancy Agyapong | Licensed Practical Nurse | 1735 Lafayette Ave, Bronx, NY 10473-4171 | 2020-10-20 |
| 1255939005 | Serifat Adeyemi | Licensed Practical Nurse | 830 E 214th St, Bronx, NY 10467-5914 | 2020-10-14 |
| 1124625165 | Vanessa Daymon | Licensed Practical Nurse | 662 E 216th St, Bronx, NY 10467-5512 | 2020-10-02 |
| 1770199135 | Paula Pamella Smith | Licensed Practical Nurse | 2035 Nereid Ave, Bronx, NY 10466-1110 | 2020-09-21 |
| 1477169274 | Yetunde Elizabeth Onafuwa | Licensed Practical Nurse | 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 | 2020-09-17 |
| 1336755123 | Eunice Isabel Paredes | Licensed Practical Nurse | 1895 University Ave Apt 6d, Bronx, NY 10453-4475 | 2020-09-17 |
| Find all providers in BRONX | ||||
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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.