ELIZABETH ANNE JOHNSON-BAILEY


Address: 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
Phone: 3342557108

ELIZABETH ANNE JOHNSON-BAILEY (NPI# 1619990165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619990165
Entity Type Individual
Full Name ELIZABETH ANNE JOHNSON-BAILEY
Credential PHYSICIAN ASSISTANT
Practice Address 301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker
AL 36362-5333
Practice Telephone 3342557108
Mailing Telephone 3342557108
Enumeration Date 2006-07-25
Last Update Date 2014-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 301 ANDREWS AVENUE
LYSTER ARMY HEALTH CLINIC
City FORT RUCKER
State AL
Zip Code 36362-5333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932107307 James C. Dover Optometrist 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2005-07-11
1598376469 Wesley Hendrick Mccormick Psychologist 301 Andrews Avenue, Fort Rucker, AL 36362 2020-08-13
1366936817 Twanna Versel Johnson Social Worker 301 Andrews Avenue, Cavhcs (va Wiregrass Clinic), Fort Rucker, AL 36362 2018-06-19
1770096406 Jose A Morejon Emergency Medical Technician, Basic 301 Andrews Avenue, Fort Rucker, AL 36362 2017-11-16
1013446723 Christopher Warren Fleming Pharmacist 301 Andrews Avenue, Fort Rucker, AL 36362 2017-06-06
1497296701 Cody Shedd Emergency Medical Technician, Basic 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-03-20
1760924583 James Darren Beasley Physical Therapy Assistant 301 Andrews Avenue, Fort Rucker, AL 36360 2016-11-10
1538616768 Deseree Moe Emergency Medical Technician, Basic 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-09-06
1093261232 Kristin Henderson Registered Nurse 301 Andrews Avenue, Fort Rucker, AL 36362 2016-08-28
1942652490 Evie Ehret Occupational Therapist 301 Andrews Avenue, Fort Rucker, AL 36362 2016-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821639154 Grace Blane Mcmahan Physician Assistant 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 2019-10-08
1013558147 Advanced Provider Solutions, LLC Physician Assistant 245 Cobb Rd, Dothan, AL 36301-7504 2019-09-30
1780247692 Rachel Anne Stallman Physician Assistant 601 S 19th Street, Birmingham, AL 35294-0001 2019-04-16
1679031488 Katie J Winfrey Physician Assistant 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 2019-03-11
1235696105 Audrey Rachel Williamson Physician Assistant 2862 Briarfield Ln, Mobile, AL 36693-4068 2019-02-26
1134617996 Harley Michelle Oliver Physician Assistant 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 2018-04-27
1952806499 Christy L Franklin Physician Assistant 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 2018-03-27
1538662994 Morgan Goss Physician Assistant 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 2018-03-13
1770090607 Gary Andrew Gould Physician Assistant 28490 2nd St Ste B, Daphne, AL 36526 2017-12-31
1942748272 Miranda Hornsby Physician Assistant 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 2017-02-07
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Competitor

Search similar providers

City FORT RUCKER
Zip Code 36362

Improve Information

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Dataset Information

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.

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