MRS. JEANNETTA JOHNSON-SMITH (NPI# 1700944246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700944246 |
| Entity Type | Individual |
| Full Name | MRS. JEANNETTA JOHNSON-SMITH |
| Credential | BSN., RN |
| Practice Address |
10880 Edgemere Blvd El Paso TX 79935-1306 |
| Mailing Address |
5021 Cedar Sands Ln El Paso TX 79924-1138 |
| Practice Telephone | 9155907800 |
| Mailing Telephone | 9158216783 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
644766 | TX | Nursing Service Providers |
| Street Address |
10880 EDGEMERE BLVD |
| City | EL PASO |
| State | TX |
| Zip Code | 79935-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822033 | El Paso County Hospital District | Skilled Nursing Facility | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2006-08-24 |
| 1497371280 | Brianna Lynn Moreno | Speech-Language Pathologist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2020-06-17 |
| 1699230425 | Fernie Cordova | Physical Therapist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-02-06 |
| 1679038731 | Guadalupe Dominguez Martinez | Physical Therapy Assistant | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-02-04 |
| 1952866261 | Luis S Baeza | Occupational Therapy Assistant | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-01-31 |
| 1275097941 | Gustavo Herrera Jr. | Physical Therapy Assistant | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-01-28 |
| 1639633381 | Alfredo Jurado | Physical Therapist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-01-28 |
| 1699150276 | James Edward Ontiveros | Speech-Language Pathologist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1164831079 | Elizabeth Espinoza | Pharmacist | 2112 Trawood, El Paso, TX 79935 | 2014-08-05 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1982947636 | Novoa Medical Services, Pa | Obstetrics & Gynecology | 10781 Pebble Hills, Suite A, El Paso, TX 79935 | 2013-04-01 |
| 1366796724 | New Leaf Wellness Center | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935 | 2012-11-06 |
| 1295980670 | Amy Latonia Hensley | Massage Therapist | 2278 Trawood Dr., Ste. C, El Paso, TX 79935 | 2008-11-26 |
| 1477752855 | Sunland Optical Co Inc | Durable Medical Equipment & Medical Supplies | 1156 Barranca, El Paso, TX 79935 | 2007-07-16 |
| Find all providers in zip 79935 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245710714 | Edna Duran | Registered Nurse | 7400 Viscount Blvd Ste 200, El Paso, TX 79925-4851 | 2018-08-15 |
| 1548545130 | Jeanette Buckhalter | Registered Nurse | 8213 Antero Pl, El Paso, TX 79904-2401 | 2011-10-15 |
| 1861683674 | Leticia Neiman | Registered Nurse | 5655 Star View Dr, El Paso, TX 79912-6428 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380477 | Katherine Elaine Holt | Registered Nurse | 15911 Nacogdoches Rd Bldg 2, San Antonio, TX 78247-1107 | 2020-09-09 |
| 1528672599 | Marianne Elizabeth Toombs | Registered Nurse | 24625 Wilderness Oak Apt 4103, San Antonio, TX 78260-7229 | 2020-09-07 |
| 1376156695 | Karen Renee Gibbs Green | Registered Nurse | 11502 Yoakum St, Pearland, TX 77584-5711 | 2020-08-26 |
| 1003424300 | Busola Oloyede | Registered Nurse | 7510 Eastwood Lake Ln, Richmond, TX 77407-2877 | 2020-07-22 |
| 1366064123 | Elizabeth Rodriguez | Registered Nurse | 1717 Scottsdale Dr Ste 120, Cedar Park, TX 78641-4340 | 2020-05-14 |
| 1396383238 | Tanya K Mccaskill | Registered Nurse | 2000 Blue Heron Ln, Harker Heights, TX 76548-8678 | 2019-12-10 |
| 1801441670 | Christle Wanorue | Registered Nurse | 24906 Grand Sapphire Ln, Katy, TX 77493-3224 | 2019-08-07 |
| 1457912545 | Kenyatta L Holmes | Registered Nurse | 315 W Alabama St Ste 200, Houston, TX 77006-5177 | 2019-06-28 |
| 1477114262 | Pauline Maduka Ike | Registered Nurse | 6633 Hillcroft St Ste 102, Houston, TX 77081-4816 | 2019-06-24 |
| 1801452420 | Monica Lynn Gasaway | Registered Nurse | 507 Mockingbird Ln, Nacogdoches, TX 75964-6583 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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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.