EDNA JOHNSON (NPI# 1619370764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619370764 |
| Entity Type | Individual |
| Full Name | EDNA JOHNSON |
| Practice Address |
15565 Northland Dr W Ste 411 Southfield MI 48075-5317 |
| Practice Telephone | 2485595301 |
| Practice Fax Number | 2485595692 |
| Mailing Telephone | 2485595301 |
| Mailing Fax Number | 2485595692 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337818 | Edna Maria Johnson | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr Bldg 59, Gainesville, FL 32610-3011 | 2020-05-14 |
| 1801193834 | Edna Faye Johnson | Counselor | 222 E Main St Ste 117, Barstow, CA 92311-2361 | 2011-02-28 |
| 1487955423 | Edna Carol Johnson | Pharmacist | 5700 Arnold St, Building 5801, Oklahoma City, OK 73145-8105 | 2010-11-08 |
| 1215065404 | Edna Jann Johnson | Licensed Vocational Nurse | 1805 N Jackson St, Tullahoma, TN 37388-2290 | 2007-03-01 |
| Street Address |
15565 NORTHLAND DR W STE 411 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164825626 | Teneak Weems | Emergency Medical Technician, Intermediate | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-09-29 |
| 1720481872 | Johnitra Tipton | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-10-03 |
| 1134522311 | Deidre Davis | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-10-02 |
| 1568865723 | Robbin Osborne | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-10-02 |
| 1265835441 | Donna Nalls | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-10-02 |
| 1326441783 | Linda Anderson | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477095396 | Kaylah Turner | Technician, Other | 25616 Hickory Hill St, Southfield, MI 48033-2982 | 2016-11-09 |
| 1538611496 | Christopher Cohen I | Technician, Other | 3 Woodbridge Towne St, Southfield, MI 48075-3413 | 2016-10-26 |
| 1578014221 | Kerri Hill | Technician, Other | 20855 Lahser Rd, Apt 403, Southfield, MI 48033-4433 | 2016-10-18 |
| 1588115307 | Aaliyah Chupp | Technician, Other | 26559 Berg Rd Apt 152, Southfield, MI 48033-2461 | 2016-10-17 |
| 1851840755 | Marjorie Bennettbaldwin | Technician, Other | 21374 Stahelin Rd, Southfield, MI 48075-4144 | 2016-10-03 |
| 1376092783 | Quentin Buchanan | Technician, Other | 24944 Auburn Ln, Southfield, MI 48033-4860 | 2016-09-26 |
| 1093263857 | Michele Gardner-rutledge | Technician, Other | 23551 Sutton Dr Apt 817, Southfield, MI 48033-3348 | 2016-09-21 |
| 1144777228 | Tyiesha Scott | Technician, Other | 25332 Shiawassee Cir Apt 106, Southfield, MI 48033-3837 | 2016-09-06 |
| 1861948127 | Austyn Driver | Technician, Other | 17439 Addison St, Southfield, MI 48075-2762 | 2016-08-28 |
| 1285188730 | Anita Harper | Technician, Other | 20360 Westpointe Ct, Southfield, MI 48076-4984 | 2016-08-12 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on EDNA JOHNSON.
| 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.