SUSAN R JOHANNSEN (NPI# 1720080583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720080583 |
| Entity Type | Individual |
| Full Name | SUSAN R JOHANNSEN |
| Credential | CNP |
| Practice Address |
1200 S 7th Ave Sioux Falls SD 57105-0900 |
| Mailing Address |
Po Box 86430 Sioux Falls SD 57118-6430 |
| Practice Telephone | 6053362140 |
| Practice Fax Number | 6053361677 |
| Mailing Telephone | 6053224900 |
| Mailing Fax Number | 6053224910 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0221 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CP000110 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026417 | Susan Johannsen | Psychologist | 1717 13th St, Everett, WA 98201-1621 | 2020-09-02 |
| 1508852203 | Susan M Johannsen | Physician Assistant | 200 Hawkins Dr, University of Iowa Hospitals & Clinics, Iowa City, IA 52242-1009 | 2005-09-27 |
| Street Address |
1200 S 7TH AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818688 | Amber Nicole Groninger | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2017-05-23 |
| 1598296618 | Jamicah Harris | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2017-03-21 |
| 1356723308 | Courtney Backer | Pediatrics | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2015-06-26 |
| 1346646833 | Chelsey M Sundberg | Nurse Practitioner | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-11-10 |
| 1669896676 | Justine Peterson | Physician Assistant | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-02-11 |
| 1578904793 | Lorena Gonzalez Stark | Internal Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2013-07-16 |
| 1558613752 | Kelli Willis | Social Worker | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2012-10-11 |
| 1114246576 | Avera Mckennan | Clinic/Center | 1200 S 7th Ave, Suite 2, Sioux Falls, SD 57105-0900 | 2010-05-25 |
| 1912149899 | Alisa L Reindl | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2009-03-24 |
| 1508037920 | Samuel Sean Schimelpfenig | Pediatrics | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694532 | Anasara Henry | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2017-08-11 |
| 1174554448 | Lesley Marie Cook | Nurse Practitioner | 2100 S Marion Rd, Sioux Falls, SD 57106-3646 | 2006-07-05 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on SUSAN R JOHANNSEN.
| 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.