KELLEY HOLT JOHNSON


Address: 5335 Yadkin Rd, Fayetteville, NC 28303-3254
Phone: 9108267337

KELLEY HOLT JOHNSON (NPI# 1629505813) 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) 1629505813
Entity Type Individual
Full Name KELLEY HOLT JOHNSON
Credential FNP
Practice Address 5335 Yadkin Rd
Fayetteville
NC 28303-3254
Mailing Address 5617 Ramsey St
Fayetteville
NC 28311-1423
Practice Telephone 9108267337
Practice Fax Number 9108267261
Mailing Telephone 9104837337
Mailing Fax Number 9104830648
Enumeration Date 2017-05-18
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5009504 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1688 S Horner Blvd, Sanford, NC 273305634 9197757337 9197751525

Other Providers KELLEY JOHNSON

NPI Name Taxonomy Address Enumeration
1336320555 Kelley Nicole Johnson Social Worker 4455 S Pecos Rd Ste C, Las Vegas, NV 89121-5029 2007-11-15
1639296759 Kelley Lynn Johnson Counselor 155 Se 1 Ave, Great Bend, KS 67530-9696 2007-03-23
1871105403 Kelley Johnson Pharmacist 2014 S Broad St, Philadelphia, PA 19145-2305 2020-08-17
1891107264 Kelley Johnson Counselor 407 Cincinnati St, Delhi, LA 71232-3007 2014-05-20
1912332891 Kelley E Johnson Nurse Practitioner 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 2013-09-10
1942540745 Kelley Erin Johnson Nurse Practitioner 255 Spencer Rd Ste 201, Saint Peters, MO 63376-2576 2013-02-15
1447506233 Kelley Johnson Community Health Worker 1856 Thompson Bridge Rd, Gainesville, GA 30501-1663 2012-07-30
1407173636 Kelley Ray Johnson Pharmacist 429 E Main St, Ingles Pharmacy #253, Liberty, SC 29657-1574 2010-04-28
1699853887 Kelley Purvis Johnson Dentist 1454 Madison Ave W, Immokalee, FL 34142-2200 2006-11-02
1487674586 Kelley Jean Johnson Pharmacist 5000 W National Ave, Milwaukee, WI 53295-0001 2006-07-20

Office Location

Street Address 5335 YADKIN RD
City FAYETTEVILLE
State NC
Zip Code 28303-3254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457354714 Sandra Normann Pediatrics 5335 Yadkin Rd, Fayetteville, NC 28303-3254 2005-05-31
1992126387 Richard Edward Hopper Physician Assistant 5335 Yadkin Rd, Fayetteville, NC 28303-3254 2014-01-02
1164657532 Kidzcare Pediatrics, PC Pediatrics 5335 Yadkin Rd, Fayetteville, NC 28303-3254 2009-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
Find all providers in zip 28303

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1316555642 Constance Ofundem Takang Nurse Practitioner 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 2020-07-22
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28303

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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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