AMBER JOHNSON (NPI# 1548709256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548709256 |
| Entity Type | Individual |
| Full Name | AMBER JOHNSON |
| Credential | PA |
| Practice Address |
500 Porter Ave Aurora MO 65605-2365 |
| Mailing Address |
Po Box 504274 Saint Louis MO 63150-4274 |
| Practice Telephone | 4176787888 |
| Mailing Telephone | 8554207900 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2017003628 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466376 | Amber Nicole Johnson | Registered Nurse | 282 Country Club Estates Dr, Russell Springs, KY 42642-6513 | 2020-10-29 |
| 1164047452 | Amber Johnson | Counselor | 1900 The Exchange Se Fl 2, Atlanta, GA 30339-2022 | 2020-06-11 |
| 1306466958 | Amber Johnson | Physical Therapist | 4164 Spicebush Dr, Tipp City, OH 45371-1352 | 2020-04-23 |
| 1578108221 | Amber Michelle Johnson | Counselor | 4207 Parliament Dr Ste B, Alexandria, LA 71303-2720 | 2019-11-15 |
| 1003459629 | Amber Erin Johnson | Registered Nurse | 9648 Ranchview Ln N, Maple Grove, MN 55369-4426 | 2019-10-27 |
| 1730654641 | Amber R Johnson | Pharmacist | 2811 Cory Ct Sw Apt 7, Cedar Rapids, IA 52404-4030 | 2018-10-06 |
| 1336622026 | Amber Johnson | Technician, Other | 2499 S Capital of Texas Hwy Bldg B, Austin, TX 78746-7762 | 2018-09-10 |
| 1851885784 | Amber Johnson | Occupational Therapy Assistant | 4765 Spacewalk Way, Colorado Springs, CO 80916-2138 | 2018-06-14 |
| 1659873644 | Amber Michele Johnson | Nurse Practitioner | 1500 Langford Dr Bldg 200, Watkinsville, GA 30677-7298 | 2018-03-06 |
| 1821500554 | Amber Johnson | Behavior Technician | 16165 Se 90th Ct, Summerfield, FL 34491-5835 | 2017-11-03 |
| Street Address |
500 PORTER AVE |
| City | AURORA |
| State | MO |
| Zip Code | 65605-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610143 | St Johns of Aurora Hospital | Anesthesiology | 500 Porter Ave, Aurora, MO 65605-2365 | 2006-04-21 |
| 1780282863 | Jared Allen Pendergrass | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2020-10-12 |
| 1871117697 | Jaci Lynn Woods | Dietitian, Registered | 500 Porter Ave, Aurora, MO 65605-2365 | 2020-06-08 |
| 1477913853 | Travis James Bell | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2016-02-29 |
| 1215313598 | Danielle C Schweke | Nurse Practitioner | 500 Porter Ave, Aurora, MO 65605-2365 | 2015-08-10 |
| 1093130098 | Tiffany Hilton | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2014-02-27 |
| 1083055453 | Olumide Ololade Adewumi | Family Medicine | 500 Porter Ave, Aurora, MO 65605-2365 | 2013-07-12 |
| 1760783518 | Judy Loraine Carver | Dietitian, Registered | 500 Porter Ave, Aurora, MO 65605-2365 | 2010-11-10 |
| 1154599900 | Danny Lee Garton | Nurse Practitioner | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-02-14 |
| 1891970901 | John D. Blackburn | Physical Therapist | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1134609712 | Regional Services | Nurse Practitioner | 305 W Prospect St, Aurora, MO 65605 | 2018-08-14 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1518241587 | Holly Lynn Wade | Counselor | 1119 S Elliot, Aurora, MO 65605 | 2011-10-07 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1740488147 | Marilyn Ruth Wachner | Social Worker | 1604 1 2 S Elliott, Aurora, MO 65605 | 2007-07-06 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1003994732 | Darren Gene Cook | Counselor | Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 | 2006-11-01 |
| 1760517304 | Jeanette M Kristek | Speech-Language Pathologist | 409 W Locust St, Aurora Reorganized School Dist R-8, Aurora, MO 65605-1422 | 2007-02-23 |
| Find all providers in zip 65605 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
| 1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
| 1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
| 1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
| 1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
| 1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
| 1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
| 1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
| 1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
| 1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
| Find all providers in AURORA | ||||
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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.