SUSAN MARIE JOHNSON (NPI# 1609367895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609367895 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE JOHNSON |
| Credential | LPN |
| Practice Address |
4325 Grand Ave Duluth MN 55807-2730 |
| Mailing Address |
3600 Tower Ave Superior WI 54880 |
| Practice Telephone | 2187221497 |
| Mailing Telephone | 7153955361 |
| Mailing Fax Number | 7153955388 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 527525 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1093291569 | Susan Patricia Johnson | Behavior Technician | 2062 Brookside Ln, Aurora, IL 60502-1369 | 2018-07-17 |
| 1396233094 | Susan Johnson | Advanced Practice Midwife | 2851 New Hartford Rd Ste B, Owensboro, KY 42303-1320 | 2018-04-27 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1366986986 | Susan Jean Johnson | Licensed Practical Nurse | 900 Owen Walters Blvd, Salina, OK 74365 | 2016-12-16 |
| 1386186518 | Susan Lynn Johnson | Pharmacist | 740 S Limestone St J134, Lexington, KY 40536-0001 | 2016-11-04 |
| 1235683889 | Susan Ly Johnson | Optometrist | 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | 2016-08-12 |
| 1205212347 | Susan Johnson | Home Health Aide | 13045 Stamford Ave, Warren, MI 48089-1350 | 2015-07-30 |
| 1346625480 | Susan Johnson | Massage Therapist | 1340 Boylston St Fl 3, Fenwy Health, Boston, MA 02215-4302 | 2015-07-29 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| Street Address |
4325 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484875 | Barbara G Hemenway | Family Medicine | 4325 Grand Ave, Duluth, MN 55807-2730 | 2005-08-16 |
| 1457984783 | Kellie Lynn Murphy | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2020-02-14 |
| 1417598079 | Brittany Morgan Hamm | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2019-10-04 |
| 1962997023 | Yin Cao | Dentist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2018-06-29 |
| 1467993774 | Kristie Hills | Counselor | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-20 |
| 1124569041 | Nicole Shockley | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-10 |
| 1457714560 | Alecia Radtke | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1386008449 | Amber Tibbetts | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1467813964 | Lisa Ann Robertson | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255828463 | Jennifer Rebecca Vik | Licensed Practical Nurse | 9428 Grand Ave Trlr 31, Duluth, MN 55808-1308 | 2018-04-13 |
| 1508369026 | Kathy Ann Mainella I | Licensed Practical Nurse | 167 Farley Ln, Duluth, MN 55803-1526 | 2018-03-11 |
| 1376096859 | Darcy Ann Kane | Licensed Practical Nurse | 501 N 22nd Ave W, Duluth, MN 55806-1633 | 2016-08-01 |
| 1669877734 | Roxanne Marie Rainey | Licensed Practical Nurse | 3731 W 2nd St, 3731 W 2nd St, Duluth, MN 55807-2810 | 2014-10-30 |
| 1801178397 | Wendy Susan Marshall | Licensed Practical Nurse | 4837 Daniels Rd, Duluth, MN 55811-9619 | 2011-09-12 |
| 1881918183 | Matthew Lee Blade | Licensed Practical Nurse | 4646 W Pioneer Rd, Duluth, MN 55803-9347 | 2010-03-16 |
| 1841438678 | Paulette Mae O'leary | Licensed Practical Nurse | 24 Deerwood St, Duluth, MN 55811-3439 | 2009-02-02 |
| 1013153105 | Pamela Leah Dungan | Licensed Practical Nurse | 1429 88th Ave W, Duluth, MN 55808-1524 | 2008-12-19 |
| 1629125539 | Judy A. Williams | Licensed Practical Nurse | 3024 Jester Ct, Duluth, GA 30096-3892 | 2007-01-04 |
| 1528553666 | Helen Westgard | Licensed Practical Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-06-29 |
| Find all providers in DULUTH | ||||
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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.