JESSI RAE JOHNSON (NPI# 1558889543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558889543 |
| Entity Type | Individual |
| Full Name | JESSI RAE JOHNSON |
| Practice Address |
120 S Jefferson Ave Mesa AZ 85208-1018 |
| Mailing Address |
15402 S 29th St Phoenix AZ 85048-8711 |
| Practice Telephone | 4804728700 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
AZ | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2635 N 32nd St, Mesa, AZ 852131662 | 4804727700 | |
| 3042 E Adobe St, Mesa, AZ 852136920 | 4804727600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680903 | Jessi K Johnson | Marriage & Family Therapist | 349 16th Ave E, 202, Seattle, WA 98112-5143 | 2014-04-23 |
| 1396059598 | Jessi A Johnson | Counselor | 109 S 10th St, Lexington, MO 64067-1364 | 2010-07-29 |
| 1801121165 | Jessi Marie Johnson | Physician Assistant | 460 Washington Rd, Suite 7, Washington, PA 15301-2765 | 2009-10-05 |
| Street Address |
120 S JEFFERSON AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85208-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215056122 | Susan Ann Keener | Registered Nurse | 120 S Jefferson Ave, Mesa, AZ 85208-1018 | 2007-03-29 |
| 1386294056 | Brittney Maree Hess | Specialist/Technologist | 120 S Jefferson Ave, Mesa, AZ 85208-1018 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726037 | Rebecca Breanne Wilson | Specialist/Technologist | 1111 S Grenoble, Mesa, AZ 85208-7520 | 2020-10-04 |
| 1982211041 | Nina Strack | Specialist/Technologist | 2343 W Main St Apt 2082, Mesa, AZ 85201-9011 | 2020-09-23 |
| 1427676683 | Melissa Porter | Specialist/Technologist | 623 N Yale, Mesa, AZ 85213-6833 | 2020-07-13 |
| 1780202101 | Tori Bailey | Specialist/Technologist | 5437 E Forge Ave, Mesa, AZ 85206-2947 | 2020-07-13 |
| 1851927701 | Kassandra Montijo | Specialist/Technologist | 1751 E Grove Ave, Mesa, AZ 85204-6022 | 2020-03-22 |
| 1700410206 | Regina Pizzagoni | Specialist/Technologist | 743 N 57th Pl, Mesa, AZ 85205-6633 | 2020-02-24 |
| 1780225383 | Emma Catherine Preston | Specialist/Technologist | 948 S Horne, Mesa, AZ 85204-4122 | 2019-10-04 |
| 1407405004 | Ashton Parry | Specialist/Technologist | 708 W Lindner Ave, Mesa, AZ 85210-6838 | 2019-09-06 |
| 1295381614 | Kate Lyman | Specialist/Technologist | 4044 E Hale Cir, Mesa, AZ 85205-4033 | 2019-08-12 |
| 1457905374 | Yuliya Ignatyeva | Specialist/Technologist | 540 N May Apt 3097, Mesa, AZ 85201-4481 | 2019-07-29 |
| Find all providers in MESA | ||||
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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.