DR. NICOLE MARIE JOHNSON (NPI# 1750868212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750868212 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE JOHNSON |
| Practice Address |
200 E Travelers Trl Ste 205 Burnsville MN 55337-4191 |
| Practice Telephone | 6122490269 |
| Mailing Telephone | 6122490269 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6452 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NPI I | 1750868212 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4660 Slater Rd Ste 210, Eagan, MN 55122 | 6125405108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188991 | Nicole Lynn Johnson | Occupational Therapist | 2616 Overlake Ave, Orlando, FL 32806-7353 | 2020-06-11 |
| 1861015893 | Nicole Johnson | Registered Nurse | 5794 193rd St W, Farmington, MN 55024-9579 | 2020-05-26 |
| 1255969705 | Nicole Rochshel Johnson | Home Health Aide | 4045 Regina Coeli Ct, Marrero, LA 70072-6354 | 2020-03-31 |
| 1942859038 | Nicole Johnson | Developmental Therapist | 7355 13th Ave Nw, Seattle, WA 98117-5306 | 2019-09-10 |
| 1053974360 | Nicole Johnson | Student in an Organized Health Care Education/Training Program | 28741 Appletree, Mission Viejo, CA 92692-1088 | 2019-04-22 |
| 1295228310 | Nicole Marie Johnson | Technician | 2807 Douglass Pl Se, Washington, DC 20020-4420 | 2018-06-13 |
| 1922512078 | Nicole Johnson | Occupational Therapy Assistant | 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 | 2017-11-28 |
| 1083133490 | Nicole Rebecca Liu Johnson | Psychologist | 20826 2nd Ave W, Lynnwood, WA 98036-7256 | 2017-09-18 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| Street Address |
200 E TRAVELERS TRL STE 205 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893587 | Nicole M. Johnson, Psyd, Lp, LLC | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2020-05-27 |
| 1245719749 | Strata Psychiatry Pllc | Nurse Practitioner | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1497991806 | Tina Dinesh Shah | Psychologist | 12400 Portland Ave Ste 120, Burnsville, MN 55337-6817 | 2009-01-07 |
| 1871619718 | Maggie Clare Happe | Psychologist | 2009 Southcross Dr W, Unit 905, Burnsville, MN 55306-7922 | 2007-03-22 |
| 1942325626 | William Hoekstra Pa | Psychologist | 1020 E 146th St, #117, Burnsville, MN 55337-6703 | 2007-03-20 |
| 1649381419 | Leslie Levine Adler | Psychologist | 200 E Travelers Trl, Suite 225, Burnsville, MN 55337-4097 | 2006-08-31 |
| 1114942950 | Dorothy Eleanor Wintz | Psychologist | 1500 Mcandrews Rd W Ste 201, Burnsville, MN 55337-4445 | 2006-07-13 |
| 1679551527 | Andrea Renee Zuellig | Psychologist | 14569 Grand Ave, Burnsville, MN 55306-5729 | 2006-01-01 |
| 1679071823 | Casey Daniel Lloyd | Psychologist | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2018-01-23 |
| 1376055665 | Mark Dominic Bertucci | Psychologist | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2017-10-26 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on DR. NICOLE MARIE 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.