MRS. JENIFER E. JOHNSON (NPI# 1710237953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710237953 |
| Entity Type | Individual |
| Full Name | MRS. JENIFER E. JOHNSON |
| Other Name | MS. JENIFER E. ERICKSON |
| Practice Address |
6905 E State St Rockford IL 61108-2692 |
| Practice Telephone | 8153974142 |
| Mailing Telephone | 8153974142 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 500502125 | IL | Technologists, Technicians & Other Technical Service Providers |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IEMA DIVISION OF NUCLEAR SAFETY | 500502125 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790020667 | Jenifer Rene Johnson | Physical Therapy Assistant | 1705 17th Ave, Vero Beach, FL 32960-3641 | 2012-12-04 |
| 1558605717 | Jenifer Johnson | Occupational Therapist | 6610 Interstate 35 N, Waco, TX 76705-1136 | 2012-11-12 |
| 1366776809 | Jenifer Johnson | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2009-10-01 |
| 1174502918 | Jenifer M Johnson | Family Medicine | 1 Theall Rd, Rye, NY 10580-1404 | 2006-01-11 |
| Street Address |
6905 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716318 | Medchoice Medical Center Ltd | Physical Therapist | 6905 E State St, Rockford, IL 61108-2692 | 2005-08-09 |
| 1598106031 | Kristine Ann Wold | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-12 |
| 1568803237 | Regina Sue Bonnell | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1164863817 | Laura Lynn Andrews | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1649611385 | Nelly Rathsamai | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1063766285 | Brittany Nichole Jenkins | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| 1225382443 | Jennifer Michelle Shull | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| 1942554167 | Vanessa Michele Shabani | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| 1750632543 | Erika Kristin Nordlof | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-20 |
| 1871844662 | Katie Lynn Thornton | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619368834 | Portable Medical Resources Ltd | Radiologic Technologist | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-02-10 |
| 1750632543 | Erika Kristin Nordlof | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-20 |
| 1871844662 | Katie Lynn Thornton | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609227206 | Kanwarjit Gill | Radiologic Technologist | 8207 Lake St, River Forest, IL 60305-1619 | 2016-06-24 |
| 1164878328 | Pearl Mawst | Radiologic Technologist | 3212 Vollmer Rd Ste A, Olympia Fields, IL 60461-1122 | 2016-05-06 |
| 1790178374 | Karen Reely | Radiologic Technologist | 1009 Hunters Trl, Mascoutah, IL 62258-2880 | 2015-03-06 |
| 1417226853 | Chicago Diagnostic Inc | Radiologic Technologist | 818 N California Ave, Chicago, IL 60622-8336 | 2011-12-14 |
| 1114167319 | Shaunda Marie Farrington | Radiologic Technologist | 1250 Woodridge Ct, Decatur, IL 62526-1390 | 2009-02-27 |
| 1609035393 | Curewell Diagnostic Services LLC | Radiologic Technologist | 5502 N Menard Ave, Chicago, IL 60630-1202 | 2008-06-06 |
| 1073785267 | Patricia Christine Byrne | Radiologic Technologist | 28w489 Warrenville Rd, Warrenville, IL 60555-3435 | 2008-03-27 |
| 1710164116 | Bettina Brydon | Radiologic Technologist | 2n345 Prairie Ave, Glen Ellyn, IL 60137-2854 | 2008-01-28 |
| 1730218652 | Radiologic Interpretations of Southern Illinois Ltd | Radiologic Technologist | 1200 Cedar Court, Carbondale, IL 62901-5334 | 2007-03-05 |
| 1770675498 | Northwest Medical Imaging | Radiologic Technologist | 2333 N Harlem Ave, Chicago, IL 60707-2718 | 2006-09-29 |
| 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.