BRIAN ANDERS JOHNSON (NPI# 1649871617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649871617 |
| Entity Type | Individual |
| Full Name | BRIAN ANDERS JOHNSON |
| Credential | IMFT |
| Practice Address |
720 S River Rd Ste B105 St George UT 84790-5704 |
| Mailing Address |
124b S Main St St George UT 84770-3416 |
| Practice Telephone | 4356697109 |
| Practice Fax Number | 4353595140 |
| Mailing Telephone | 4356697109 |
| Mailing Fax Number | 4353595140 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| 1720483977 | Brian Johnson | Contractor | 2940 Wakefield Ct, Hephzibah, GA 30815-6542 | 2014-10-30 |
| Street Address |
720 S RIVER RD STE B105 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340158 | Ty Dallas Mangum | Student in an Organized Health Care Education/Training Program | 595 W 600 N, St George, UT 84770-2609 | 2020-06-15 |
| 1184249146 | Takara Ragland | Student in an Organized Health Care Education/Training Program | 3031 E Livia Dr, St George, UT 84790-1206 | 2020-06-15 |
| 1720603848 | Stephanie Vongsawad | Student in an Organized Health Care Education/Training Program | 2405 Eastlake Dr, St George, UT 84790-6135 | 2020-06-15 |
| 1073138103 | Larry Brock Butler | Student in an Organized Health Care Education/Training Program | 495 S 900 E Apt 8, St George, UT 84770-3860 | 2020-06-15 |
| 1477178432 | Thomas Ray Cook | Student in an Organized Health Care Education/Training Program | 669 S 700 E Apt 18, St George, UT 84770-2407 | 2020-06-15 |
| 1972128924 | Joseph Delong | Student in an Organized Health Care Education/Training Program | 368 S Mall Dr Unit F204, St George, UT 84790-4657 | 2020-06-15 |
| 1578188777 | Jessica Jensen | Student in an Organized Health Care Education/Training Program | 699 Escalante Dr, St George, UT 84790-7605 | 2020-06-12 |
| 1770108979 | Tara Carpenter | Student in an Organized Health Care Education/Training Program | 1630 E 2450 S Unit 63, St George, UT 84790-6993 | 2020-06-12 |
| 1316599673 | Brogan K Crane | Student in an Organized Health Care Education/Training Program | 1898 Gunlock Ct, St George, UT 84790-6705 | 2019-07-16 |
| 1457903700 | Miriam Hernandez | Student in an Organized Health Care Education/Training Program | 701 E 900 S Unit 25, St George, UT 84790-5526 | 2019-07-16 |
| Find all providers in ST GEORGE | ||||
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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.