HEATHER MARIE JOHNSON (NPI# 1518214154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518214154 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE JOHNSON |
| Credential | NP |
| Practice Address |
1072 N Liberty St Suite 203 Boise ID 83704-8708 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083025800 |
| Practice Fax Number | 2083025855 |
| Mailing Telephone | 2083025800 |
| Mailing Fax Number | 2083025855 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-1185A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP-1185A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621760 | Heather Nicole Johnson | Nurse Practitioner | 13486 Springhill Ct Apt Suite, Winnebago, IL 61088-8054 | 2020-08-24 |
| 1417596685 | Heather Johnson | Social Worker | 1815 Crescent Dr, Champaign, IL 61821-5829 | 2020-01-05 |
| 1538633284 | Heather Allison Johnson | Registered Nurse | 1009 Terry Ranch Rd, Cheyenne, WY 82007-9708 | 2019-01-16 |
| 1457820706 | Heather Blythe Johnson | Occupational Therapy Assistant | 15620 Opal Fire Dr, Austin, TX 78728-3655 | 2018-11-15 |
| 1235605270 | Heather Renee Johnson | Nurse Practitioner | 6699 Corte Maria, Carlsbad, CA 92009-5917 | 2018-10-17 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1275049249 | Heather Rose Johnson | Early Intervention Provider Agency | 166 Centre Ave, Middleboro, MA 02346-2053 | 2017-12-28 |
| 1508387937 | Heather A Johnson | Massage Therapist | 3041 Aldrich Ave S, Minneapolis, MN 55408-2802 | 2017-07-06 |
| 1700251246 | Heather Johnson | Behavioral Analyst | 390 Mac Arthur Blvd, Hauppauge, NY 11788-3057 | 2015-12-09 |
| 1467834978 | Heather Lee Johnson | Registered Nurse | 2406 Buckhorn Ave, Schofield, WI 54476-5145 | 2015-06-19 |
| Street Address |
1072 N LIBERTY ST SUITE 203 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640561 | James D Redshaw | Psychiatry & Neurology | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2005-09-23 |
| 1316333107 | Karissa Deann Keenan | Obstetrics & Gynecology | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-04-08 |
| 1891184115 | Kristin Schmitt Gomes | Advanced Practice Midwife | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-01-12 |
| 1619385119 | Jessica M Herr | Nurse Practitioner | 1072 N Liberty St, Ste 200, Boise, ID 83704 | 2014-07-28 |
| 1093126229 | Colin Alan Lyness | Psychiatry & Neurology | 1072 N Liberty St, Ste 303, Boise, ID 83704 | 2014-05-09 |
| 1215362785 | Heather Ann Wilcke | Nurse Practitioner | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2013-09-03 |
| 1396188751 | Donraphael Wynn | Ophthalmology | 1072 N Liberty St, Ste 303, Boise, ID 83704 | 2013-04-16 |
| 1558620781 | Kandiss L Inman | Registered Nurse | 1072 N Liberty St, Suite 100, Boise, ID 83704-8708 | 2012-05-08 |
| 1942568118 | Daniel Prior | Surgery | 1072 N Liberty St, Ste 300, Boise, ID 83704 | 2012-04-25 |
| 1962709550 | Jane Kelsey Spencer | Clinical Nurse Specialist | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2011-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
| 1588277529 | Tauna Marie Young | Nurse Practitioner | 1681 S Kimball Way, Boise, ID 83709-1654 | 2020-08-28 |
| 1497367114 | Lindsay Ruggles | Nurse Practitioner | 1105 S Federal Way, Boise, ID 83705-2546 | 2020-08-24 |
| 1265056014 | Brynn Crisp | Nurse Practitioner | 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 | 2020-06-07 |
| 1518592674 | Amber Lynn Gillette | Nurse Practitioner | 1111 S Orchard St Ste 251, Boise, ID 83705-1964 | 2020-03-10 |
| 1265062806 | Jamie Watts | Nurse Practitioner | 5353 W Hill Rd, Boise, ID 83703-2943 | 2020-01-23 |
| 1730654435 | Melissa Gaffrey | Nurse Practitioner | 500 S 8th St, Boise, ID 83702-7107 | 2018-10-09 |
| 1659876399 | Dixie Jean Skinner | Nurse Practitioner | 10583 W. Lake Hazel Rd., Boise, ID 83709-8370 | 2018-03-26 |
| 1063912202 | Devon Moser | Nurse Practitioner | 901 N Curtis Rd Ste 100, Boise, ID 83706-1339 | 2018-02-14 |
| Find all providers in BOISE | ||||
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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.