KEMMIAN DERRAIL JOHNSON


Address: 2003 Tulane Avenue, New Orleans, LA 70112
Phone: 5049626110

KEMMIAN DERRAIL JOHNSON (NPI# 1528529252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528529252
Entity Type Individual
Full Name KEMMIAN DERRAIL JOHNSON
Practice Address 2003 Tulane Avenue
New Orleans
LA 70112
Mailing Address 1542 Tulane Ave Fl 4
New Orleans
LA 70112-2865
Practice Telephone 5049626110
Mailing Telephone 5045685600
Enumeration Date 2019-03-26
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2003 TULANE AVENUE
City NEW ORLEANS
State LA
Zip Code 70112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033613955 Nnamdi Daniel Udeh Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2018-03-23
1952863714 David Barnes Jr. Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-04-02
1104388982 Hunter Carroll Hall Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-04-02
1932661782 Crystal Rathore Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-04-02
1467914465 Justin Faciane Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-04-01
1700347333 Alia Abbas Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-03-27
1376004937 Jennifer Elise Abdalla Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-03-27
1649731472 William James Gibson Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-03-26
1750842662 Peter Graham Pantlin Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-03-26
1760943583 Omar Wahid Mohamed Elfeky Student in an Organized Health Care Education/Training Program 2003 Tulane Avenue, New Orleans, LA 70112 2019-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346867306 Suayp Oygen Student in an Organized Health Care Education/Training Program 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 2020-06-25
1073132692 Bianca Ngwe Ndeso Fomukong Student in an Organized Health Care Education/Training Program 450a South Claiborne, Room 521, New Orleans, LA 70112 2020-04-14
1184253510 Arya Mohammad Reza Loghmani Student in an Organized Health Care Education/Training Program 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 2020-04-07
1447889365 Kinnah Menta Hughes Student in an Organized Health Care Education/Training Program 1900 Gravier Street, New Orlens, LA 70112 2020-04-02
1396373924 Carson Mills Student in an Organized Health Care Education/Training Program Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 2020-03-30
1417585134 Pate Duddleston Student in an Organized Health Care Education/Training Program 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 2020-03-29
1467090084 Camilla Henderson Technician, Pathology 1415 Tulane Hospital, New Orleans, LA 70112 2019-12-13
1942850615 Shannon R. Bierma Psychologist 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 2019-09-16
1326608035 Julia Obehi Aigbogun Student in an Organized Health Care Education/Training Program Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 2019-06-14
1477016970 Nicole Marie Crozat Student in an Organized Health Care Education/Training Program Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 2019-04-11
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316553514 Tranekka Randle Student in an Organized Health Care Education/Training Program 1919 W Homestead Dr, New Orleans, LA 70114-3388 2020-09-22
1730791849 Brady Radosti Student in an Organized Health Care Education/Training Program 8124 Spruce St # B, New Orleans, LA 70118-2931 2020-08-19
1316558133 Amy Bienvenu Student in an Organized Health Care Education/Training Program 810 Voisin St, New Orleans, LA 70124-1758 2020-08-14
1073124889 Rhett James Rogers Student in an Organized Health Care Education/Training Program 3631 Tall Timbers Dr, New Orleans, LA 70131-8329 2020-08-14
1366053662 Jennifer Abbrecht Student in an Organized Health Care Education/Training Program 4317 S Galvez St, New Orleans, LA 70125-4525 2020-08-11
1568073914 Kevin Sean Olson Student in an Organized Health Care Education/Training Program 4235 Ulloa St, New Orleans, LA 70119-6745 2020-08-10
1730799305 Chad Mazoue Student in an Organized Health Care Education/Training Program 5923 Colbert St, New Orleans, LA 70124-2910 2020-08-07
1821608407 Jebin Samuel Student in an Organized Health Care Education/Training Program 930 Poydras St Apt 2019, New Orleans, LA 70112-2045 2020-08-07
1588274211 Alexandra B Musso Student in an Organized Health Care Education/Training Program 5122 Chestnut St, New Orleans, LA 70115-2946 2020-08-06
1992313092 Suhalika Synghal Sahni Student in an Organized Health Care Education/Training Program 1430 Tulane Ave Rm 6547, New Orleans, LA 70112-2632 2020-07-15
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Competitor

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City NEW ORLEANS
Zip Code 70112

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Dataset Information

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.

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