RANDI L JOHNSON (NPI# 1700122355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700122355 |
| Entity Type | Individual |
| Full Name | RANDI L JOHNSON |
| Credential | PA |
| Practice Address |
1000 South Ave Rochester NY 14620-2733 |
| Mailing Address |
601 Elmwood Ave Box 655 Rochester NY 14642-8655 |
| Practice Telephone | 5853416880 |
| Mailing Telephone | 5853413015 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 23 016413 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427505429 | Randi Johnson | Speech-Language Pathologist | 362 Charter Oak Pl, Dahinda, IL 61428-9784 | 2016-09-07 |
| 1962855767 | Randi Monteal Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2016-07-15 |
| 1154652725 | Randi Scalise Johnson | Marriage & Family Therapist | 3172 Walford Ave, Suite 5, Eureka, CA 95503-4897 | 2010-01-21 |
| 1225279714 | Randi Yvonne Johnson | Registered Nurse | 4190 City Ave, Ste 315, Philadelphia, PA 19131-1626 | 2009-03-13 |
| 1679731905 | Randi L Johnson | Case Manager/Care Coordinator | 1087 Alice Ave, Memphis, TN 38106-6543 | 2008-05-22 |
| Street Address |
1000 SOUTH AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113618 | Tulsi Dass | Specialist | 1000 South Ave, # 95, Rochester, NY 14620-2733 | 2005-06-10 |
| 1285234088 | David Boguta | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-29 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1528665841 | Zachary Lamb | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-08 |
| 1245853134 | Travis John Lawrence | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-05-26 |
| 1962035790 | James Spencer Caal | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-20 |
| 1417580994 | Sarah Jean Jones | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-12 |
| 1346872371 | Ellen Hufziger | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-07 |
| 1568093169 | Tricia Blanchard | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2782 | 2020-02-01 |
| 1902437858 | Aubrie Anna Macikowski | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1336755065 | Katherine Zazulak | Physician Assistant | Ur Medicine Strong Memorial Hospital 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-09-18 |
| 1609489632 | Michelle Sierant | Physician Assistant | 4847 Carrington Dr, Rochester, MI 48306-1496 | 2020-08-28 |
| 1558971812 | Kelly Ann Probst | Physician Assistant | 136 Seminole Way, Rochester, NY 14618-1348 | 2020-08-03 |
| 1750999645 | Paulina Maria Mager | Physician Assistant | 52 Pennwood Dr Apt E, Rochester, NY 14625-2527 | 2020-07-17 |
| 1013534841 | Andrew Mcleod | Physician Assistant | 4631 Deer Springs Ct, Rochester, MI 48306-4733 | 2020-06-27 |
| 1295359123 | Jenna Geary | Physician Assistant | 193 Avon Rd, Rochester, NY 14625-1932 | 2020-06-06 |
| 1063047637 | Megan Thornton | Physician Assistant | Mayo Clinic - Rochester 200 First Street Sw, Rochester, MN 55905-0001 | 2020-03-04 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| Find all providers in ROCHESTER | ||||
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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.