MRS. KATRINA MARIE JOHNSON (NPI# 1679664924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679664924 |
| Entity Type | Individual |
| Full Name | MRS. KATRINA MARIE JOHNSON |
| Credential | NP |
| Practice Address |
3825 Highland Ave Suite 210 Downers Grove IL 60515-1552 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60675-0001 |
| Practice Telephone | 6304356100 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209011252 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356801146 | Katrina R Johnson | Speech-Language Pathologist | 24 Hollywood Blvd Sw # 7th, Fort Walton Beach, FL 32548-4893 | 2019-03-20 |
| 1063970358 | Katrina M Johnson | Clinic/Center | 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 | 2019-03-06 |
| 1740663467 | Katrina Johnson | Pharmacist | 3810 Fm 3009, Walgreens, Schertz, TX 78154 | 2015-06-30 |
| 1023496387 | Katrina M Johnson | Social Worker | 210 Airport Road, Suite 103, Viroqua, WI 54665 | 2015-05-07 |
| 1841762671 | Katrina Marie Johnson | Speech-Language Pathologist | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2018-12-18 |
| 1578038030 | Katrina Johnson | Speech-Language Pathologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2018-10-10 |
| 1578043493 | Katrina Johnson | Psychologist | 2202 S Park St, Madison, WI 53713 | 2018-08-20 |
| 1407343734 | Katrina Louise Johnson | Internal Medicine | 2500 N State St, Jackson, MS 39216 | 2018-04-23 |
| 1639671852 | Katrina Johnson | Massage Therapist | 613 S Knik Goose Bay Rd Ste D, Wasilla, AK 99654-8090 | 2018-03-03 |
| 1538667274 | Katrina Johnson | Case Manager/Care Coordinator | 1204 Stubbs Ave, Monroe, LA 71201 | 2018-01-29 |
| Street Address |
3825 HIGHLAND AVE SUITE 210 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456186 | Mani Akkineni | Specialist | 3825 Highland Ave, Tower 1 Suite 2f, Downers Grove, IL 60515-1548 | 2005-06-10 |
| 1073065751 | Erin Colleen Erickson | Physician Assistant | 3825 Highland Ave, Tower 2 Suite 303, Downers Grove, IL 60515-1552 | 2016-10-28 |
| 1831644863 | Melissa Anne Robles | Registered Nurse | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2016-08-19 |
| 1649634247 | Premier Family Health and Wellness Center Inc | Family Medicine | 3825 Highland Ave, Suite 2b, Downers Grove, IL 60515-1552 | 2016-04-09 |
| 1881057917 | Diana Marie Amidei-stefanik | Nurse Practitioner | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2016-04-05 |
| 1851768337 | Kelly Ridges | Nurse Practitioner | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2015-08-31 |
| 1780088955 | Megan Rhodes | Physician Assistant | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2014-10-17 |
| 1952714230 | Judith Notley Burke | Social Worker | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2014-06-04 |
| 1699115360 | Kathleen Ann Miller | Dietitian, Registered | 3825 Highland Ave, Tower 2, Suite 303, Downers Grove, IL 60515-1552 | 2013-06-26 |
| 1134569809 | Nancy Moran | Dietitian, Registered | 3825 Highland Ave, Tower 2, Suite 303, Downers Grove, IL 60515-1552 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700335668 | Kathryn Heyduck | Nurse Practitioner | 1441 Branding Ave, Suite 310, Downers Grove, IL 60515-1160 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
| 1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
| 1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
| 1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
| 1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
| 1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
| 1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on MRS. KATRINA MARIE 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.