RANDY LEE JOHNSON (NPI# 1497041065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497041065 |
| Entity Type | Individual |
| Full Name | RANDY LEE JOHNSON |
| Practice Address |
824 9th St N Sartell MN 56377-2248 |
| Mailing Address |
824 9th St N P.o.box 186 Sartell MN 56377-2248 |
| Practice Telephone | 3202909506 |
| Practice Fax Number | 8663927760 |
| Mailing Telephone | 3202909506 |
| Mailing Fax Number | 8663927760 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1871716225 | Randy Johnson | Dentist | 3053 Freedom Dr, Charlotte, NC 28208-3859 | 2007-04-11 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1295843795 | Randy Roy Johnson | Chiropractor | 10600 South Ave, Chisago City, MN 55013-9577 | 2006-08-26 |
| 1417970971 | Randy Johnson | Specialist/Technologist | 5150 Farna Ave, Arcadia, CA 91006-5966 | 2006-07-25 |
| 1972581957 | Randy Gordon Johnson | Pharmacist | 34617 Se 56th Pl, Fall City, WA 98024-8806 | 2006-01-09 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1073787677 | Randy M Johnson | Physician Assistant | 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | 2008-04-15 |
| 1629247317 | Randy Johnson | Prosthetic/Orthotic Supplier | 405 Parkway, Suite G, Greensboro, NC 27401-1308 | 2008-02-27 |
| 1508035189 | Randy Lee Johnson | Durable Medical Equipment & Medical Supplies | 117 E Main St, Dundee, FL 33838-4219 | 2008-02-27 |
| Street Address |
824 9TH ST N |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472994 | Woodcraft Design Build Inc | Contractor | 141 Lewis Ave S Apt 102, Watertown, MN 55388-4602 | 2020-09-21 |
| 1376154708 | Craig Matthew Johnson | Contractor | 8103 Upper 129th Ct, Apple Valley, MN 55124-6283 | 2020-08-10 |
| 1982214391 | Livable Home Solutions, LLC | Contractor | 10065 198th Ct W, Lakeville, MN 55044-7458 | 2020-08-01 |
| 1518576552 | Matthew Fisher | Contractor | 9452 Sax Rd, Forbes, MN 55738-8344 | 2020-07-27 |
| 1124646740 | Lakeside Floor Coverings, Inc. | Contractor | 7500 University Ave Ne Ste 1, Fridley, MN 55432-2657 | 2020-07-09 |
| 1407473119 | Cornerstone of Willmar, Inc. | Contractor | 1020 Highway 71 Ne Ste 102, Willmar, MN 56201-2695 | 2020-06-29 |
| 1639790512 | Elia Stamboulieh | Contractor | 2777 Lexington Ave, Unit D, Roseville, MN 55113-2013 | 2020-05-01 |
| 1811533458 | Eden Builders Inc | Contractor | 2817 Aspen Lake Dr Ne, Blaine, MN 55449-3100 | 2019-11-19 |
| 1972151561 | Alpha Design Build Group, Inc. | Contractor | 108 Crystal Lake Rd W, Burnsville, MN 55306-5027 | 2019-08-28 |
| 1689233900 | Praco Contracting LLC | Contractor | 3837 Glenhurst Ave, St Louis Park, MN 55416-4915 | 2019-06-10 |
| 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.