MS. JACQUELINE RUTH JOHNSON (NPI# 1750504353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750504353 |
Entity Type | Individual |
Full Name | MS. JACQUELINE RUTH JOHNSON |
Credential | M.DIV. |
Practice Address |
4425 Memorial Dr Decatur GA 30032-1337 |
Mailing Address |
764 Wynbrooke Pkwy Stone Mountain GA 30087-6322 |
Practice Telephone | 4042988383 |
Mailing Telephone | 7704691225 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
146319 | GA | Nursing Service 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 |
4425 MEMORIAL DR |
City | DECATUR |
State | GA |
Zip Code | 30032-1337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740750355 | Andrea Caleb | Nurse Practitioner | 4425 Memorial Dr, Decatur, GA 30032-1337 | 2018-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
Find all providers in zip 30032 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366472672 | Rosalie Kaye Shultz | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-07-03 |
1548296932 | Mary Kathryn Sleboda | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-25 |
1154366789 | Ruthie A Pumphrey | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-18 |
1528002300 | Rosa Lee Head | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720626963 | Patti Mckinley Prater | Registered Nurse | 37 Calumet Pkwy Ste 101, Newnan, GA 30263-6734 | 2019-12-18 |
1851932156 | Nancy Ann Ivie | Registered Nurse | 4271 S Lee St Ste 101, Buford, GA 30518-3710 | 2019-10-08 |
1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
1346734217 | Ella Michelle Stephenson | Registered Nurse | 7002 Annie Walk, Lithonia, GA 30038-4675 | 2018-06-14 |
1689182685 | Candace Annette Thompson | Registered Nurse | 4751 Best Rd Ste 150, Atlanta, GA 30337-5601 | 2018-01-12 |
1093251167 | Emily Ann Brumfield | Registered Nurse | 2109 Fairburn Rd, Ste A, Douglasville, GA 30135-1037 | 2017-01-13 |
1275080541 | Brenda Goodgame | Registered Nurse | 109 Austin Way, 109 Austin Way, Savannah, GA 31419-6207 | 2016-09-05 |
1437425899 | Shasheeta Youlanda Hammond | Registered Nurse | 1300 Georgian Pl Apt 5, Dalton, GA 30720-4388 | 2012-03-29 |
1679804603 | County Paradise Assisted Living | Registered Nurse | 546 Macon Road, Mcintyre, GA 31054 | 2010-01-14 |
1275775801 | Cynthia Ann Frissora Murray | Registered Nurse | 6563 Garrett Rd, Buford, GA 30518-1109 | 2009-03-27 |
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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.