MRS. JACQUELINE MICHELLE JOHNSON (NPI# 1720579808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720579808 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MICHELLE JOHNSON |
| Credential | NP |
| Practice Address |
4321 Washington St Ste 6100 Kansas City MO 64111 |
| Mailing Address |
901 E 104th St Mailstop 400n Kansas City MO 64131-4517 |
| Practice Telephone | 8169323470 |
| Practice Fax Number | 8169326888 |
| Mailing Telephone | 8165027104 |
| Mailing Fax Number | 8169323492 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
124618 | MO | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2017040108 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2017040108 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| Street Address |
4321 WASHINGTON ST STE 6100 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518951839 | Paul Martin Rosman | Internal Medicine | 4321 Washington St Ste 6100, Kansas City, MO 64111-5901 | 2005-09-01 |
| 1033670344 | Laura Vinck | Physician Assistant | 4321 Washington St Ste 6100, Kansas City, MO 64111-5901 | 2019-03-28 |
| 1366940439 | Marianne Elizabeth Mccorkill | Nurse Practitioner | 4321 Washington St Ste 6100, Kansas City, MO 64111-5901 | 2018-01-24 |
| 1639308786 | Namita Gupta | Internal Medicine | 4321 Washington St Ste 6100, Kansas City, MO 64111-5901 | 2009-07-10 |
| 1366624215 | Susana D'amico | Internal Medicine | 4321 Washington St Ste 6100, Kansas City, MO 64111-5901 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902260631 | Nancy Grable | Nurse Practitioner | 11218 Winchester Dr, Kansas City, KS 66109-4087 | 2016-04-08 |
| 1881055754 | Maria Evans | Nurse Practitioner | 1412 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2016-03-18 |
| 1831585355 | Michelle Goss | Nurse Practitioner | 5527 Central St, Kansas City, MO 64113-1205 | 2015-04-10 |
| 1831501592 | Nicole Marshall-ebersole | Nurse Practitioner | 2121 Central St Apt 602, Kansas City, MO 64108-2070 | 2014-05-28 |
| 1851631576 | Christopher M Martinez | Nurse Practitioner | 4321 Washington St., Suite 5100, Kansas City, MO 64111 | 2013-02-16 |
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1740371863 | Virgie Hickmon | Nurse Practitioner | 4801 Linwooe, Kansas City, MO 64128 | 2006-09-27 |
| 1740236678 | Rebecca J Vanscoy | Nurse Practitioner | 4321 Washington St Ste 6000, Kansas City, MO 64111-5930 | 2006-05-25 |
| 1689622417 | Maithe Enriquez | Nurse Practitioner | 2340 E Meyer Blvd, Bldg 2, Suite 392, Kansas City, MO 64132 | 2006-05-04 |
| 1316906803 | Azam Chizari | Nurse Practitioner | 1610 Washington Blvd, Kansas City, KS 66102-2842 | 2006-03-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on MRS. JACQUELINE MICHELLE JOHNSON.
| 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.