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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC |
City | FORT RUCKER |
State | AL |
Zip Code | 36362-5333 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 36362 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | FORT RUCKER |
Zip Code | 36362 |
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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.