ALYSIA JOHNSON (NPI# 1619331436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331436 |
| Entity Type | Individual |
| Full Name | ALYSIA JOHNSON |
| Credential | NNP |
| Practice Address |
520 E 6th St Odessa TX 79761-4527 |
| Mailing Address |
Po Box 1627 Stanton TX 79782-1627 |
| Practice Telephone | 4325828000 |
| Mailing Telephone | 4326613935 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
791930 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972964039 | Alysia Johnson | Counselor | 19331 N 12th St, Covington, LA 70433-5228 | 2016-03-16 |
| Street Address |
520 E 6TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959089 | Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2005-08-19 |
| 1114557675 | Christi Hill | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-23 |
| 1477183317 | Bradley Boyd Massey | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-20 |
| 1780224329 | Reid E Ivy | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-12 |
| 1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
| 1528617552 | Liberty Dawn Mitchell | Licensed Vocational Nurse | 520 E 6th St, Odessa, TX 79761-4527 | 2019-09-11 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| 1285299131 | Permian Premier Health Services Inc | Contractor | 520 E 6th St, Odessa, TX 79761-4527 | 2019-05-07 |
| 1811460330 | Stefanie Hughes | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2019-01-08 |
| 1497240592 | Bienvenido Buaquen Baquirin | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2018-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932601630 | Lindsey Michelle Wheatley | Nurse Practitioner | 500 W 4th Street, Nicu, Odessa, TX 79761 | 2018-03-08 |
| 1528560265 | Chelsie Campbell | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2018-03-07 |
| 1548623119 | Jennifer Anne Oliver | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528528817 | Kensey Duncan | Nurse Practitioner | 6431 Fannin St # 3.242, Houston, TX 77030-1501 | 2019-03-22 |
| 1750840286 | Jissel Odette Espinoza | Nurse Practitioner | 8710 N 29th Ln, Mcallen, TX 78504-5982 | 2019-03-14 |
| 1184183659 | Enedelia Reyna | Nurse Practitioner | 222 E Ridge Rd Ste 202, Mcallen, TX 78503-1251 | 2019-03-14 |
| 1134688757 | Nancy Elizabeth Lane | Nurse Practitioner | 6310 Eagle Creek Dr, Flower Mound, TX 75028-2464 | 2019-03-13 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1043746324 | Maria V Gutierrez | Nurse Practitioner | 1694 Zamora Dr, Brownsville, TX 78526-1997 | 2017-05-05 |
| 1578003786 | Briana Donise Blackstock | Nurse Practitioner | 210 Longhorn Blvd, Wolfforth, TX 79382-5322 | 2017-03-07 |
| 1619413911 | Richard Dunn | Nurse Practitioner | 1129 Birch St, Hurst, TX 76053-4301 | 2017-01-10 |
| 1245781830 | Lisa Marie Elizalde | Nurse Practitioner | 902 S Loop 499 Apt N4, Harlingen, TX 78550-2522 | 2016-10-18 |
| 1972050540 | Daniel Renteria I | Nurse Practitioner | 3280 Joe Battle Blvd., El Paso, TX 79936 | 2016-09-01 |
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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.