KIMBERLY R JOHNSON (NPI# 1689830804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689830804 |
| Entity Type | Individual |
| Full Name | KIMBERLY R JOHNSON |
| Credential | RN, NP-C |
| Practice Address |
1709 Dryden Rd Suite 850 Ms:bcm620 Houston TX 77030-2400 |
| Practice Telephone | 7137983967 |
| Practice Fax Number | 7137988317 |
| Mailing Telephone | 7137983967 |
| Mailing Fax Number | 7137988317 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
687648 | TX | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
687648 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| Street Address |
1709 DRYDEN RD SUITE 850 MS:BCM620 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093761454 | David George Alleman | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2006-05-26 |
| 1053750489 | Visish Mani Srinivasan | Neurological Surgery | 1709 Dryden Rd, Ste 750, Houston, TX 77030-2400 | 2013-06-19 |
| 1578900346 | Kwasi Botwe Mensah | Student in an Organized Health Care Education/Training Program | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-06-03 |
| 1831535996 | Jonathan Shimon Goldberg | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-05-16 |
| 1285078691 | Anabelle Outar | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-29 |
| 1144664798 | Ata-ul Rahman | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-25 |
| 1265876148 | Brian Christopher Deaver | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-23 |
| 1104269570 | Julie Sarah Schackman | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-16 |
| 1326481870 | Bhavini Patel Murthy | Internal Medicine | 1709 Dryden Rd, Suite1700, Ms: Bcm 120, Houston, TX 77030-2400 | 2013-04-15 |
| 1508128992 | Yasmin Moolani | Internal Medicine | 1709 Dryden Rd, #5.70, Houston, TX 77030-2400 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303196 | Restorative Health, LLC | Nurse Practitioner | 4654 Highway 6 N Ste 308, Houston, TX 77084-2879 | 2020-07-12 |
| 1487271623 | Lasean Denise Radway | Nurse Practitioner | 12727 Featherwood Dr Ste 103, Houston, TX 77034-4907 | 2020-07-04 |
| 1285275412 | Sonia Bassett | Nurse Practitioner | 12314 Knobcrest Dr, Houston, TX 77070-2438 | 2019-09-29 |
| 1255987152 | Seema Sadhwani Aggarwal | Nurse Practitioner | 6901 Bertner Ave # 535-c, Houston, TX 77030-3901 | 2019-08-15 |
| 1588134134 | Latrice Milbourne | Nurse Practitioner | 2727 Travis St # 728, Houston, TX 77006-3533 | 2018-11-27 |
| 1356836779 | Hassanat Hassan | Nurse Practitioner | 8123 Barnes Ridge Ln, Houston, TX 77072-0105 | 2018-06-27 |
| 1255844932 | Laura Ogbechie | Nurse Practitioner | 6770 Bertner Ave., C330, Houston, TX 77030-2604 | 2017-11-16 |
| 1831609528 | Ifeoma Jennifer Ukwamedua | Nurse Practitioner | 14611 Wynbourn Way, Houston, TX 77083-4700 | 2017-10-06 |
| 1538697289 | Norma E Puente | Nurse Practitioner | 9242 Buffalo Bend Ln, Houston, TX 77089-5800 | 2017-05-25 |
| 1467992719 | Omobolanle Mutiat Sofowora-austin | Nurse Practitioner | 2828 Hayes Rd Apt 734, Houston, TX 77082-6637 | 2017-03-06 |
| Find all providers in HOUSTON | ||||
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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.