SHANTAE JOHNSON (NPI# 1750872487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750872487 |
| Entity Type | Individual |
| Full Name | SHANTAE JOHNSON |
| Credential | NP-BC |
| Practice Address |
4441 Capital Ave Sw Battle Creek MI 49015-9359 |
| Practice Telephone | 2697886888 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704278080NSA185 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304646 | Shantae Renee Johnson | Driver | 560 Big Sioux Ct, Poinciana, FL 34759-5927 | 2019-09-10 |
| 1437468469 | Shantae Rae Johnson | Doula | 2971 Se 92nd Ave, Portland, OR 97266-1429 | 2010-09-24 |
| 1417406752 | Shantae Monae Johnson | Nurse Practitioner | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-09-28 |
| 1467812560 | Shantae Johnson | Counselor | 1500 Lafayette St, Ste 150, Gretna, LA 70053-5799 | 2016-03-02 |
| Street Address |
4441 CAPITAL AVE SW |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49015-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447205000 | David L. Gose | Physician Assistant | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2006-05-23 |
| 1922613819 | Sasha Olinger | Urology | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2020-09-09 |
| 1235502147 | Kelly Anne Lapen | Nurse Practitioner | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2015-11-02 |
| 1508298373 | Barbara Jean Reaume | Physician Assistant | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2013-08-05 |
| 1104176460 | Wendy J Beckwith | Nurse Practitioner | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2012-09-14 |
| 1174533228 | Patrick J Sweeney | Urology | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2006-08-09 |
| 1861402836 | Kevin A Brewton | Urology | 4441 Capital Ave Sw, Battle Creek, MI 49015 | 2006-08-09 |
| 1073542635 | Joseph K Njenga | Physician Assistant | 4441 Capital Ave Sw, Battle Creek, MI 49015 | 2006-07-03 |
| 1982644795 | Urology Associates of Battle Creek PC | Urology | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
| 1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
| 1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
| 1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
| 1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
| Find all providers in zip 49015 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033403118 | Charlotte G Andreasen | Nurse Practitioner | 70 Michigan Ave. West, Neurology of Battle Creek, Battle Creek, MI 49017 | 2011-06-06 |
| 1699005777 | Dianne Marie Niecko | Nurse Practitioner | 190 E Michigan Ave, Ste A100, Battle Creek, MI 49014-4005 | 2010-01-12 |
| 1811963358 | Peggy Sue Liechti | Nurse Practitioner | 719 Capital Ave Sw, Battle Creek, MI 49015-5023 | 2006-02-24 |
| 1669910188 | Sheena Ledbetter | Nurse Practitioner | 300 North Ave, 1st Floor, Outpatient Center, Battle Creek, MI 49017-3307 | 2017-02-03 |
| 1912359936 | Martina Kerschen | Nurse Practitioner | 181 Emmett St W, Battle Creek, MI 49037-2963 | 2016-07-01 |
| 1366801599 | Christopher Jon Sherlock | Nurse Practitioner | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 | 2016-02-16 |
| 1417201138 | Jennifer L Mccleary | Nurse Practitioner | 11177 Michigan Ave E, Battle Creek, MI 49014-8904 | 2012-11-02 |
| 1043578008 | Judy Capitano | Nurse Practitioner | 5500 Armstrong Rd, Battle Creek, MI 49017 | 2012-04-27 |
| 1598834392 | Susan A. Smith | Nurse Practitioner | 2845 Capital Ave Sw, Suite 302, Battle Creek, MI 49015-4185 | 2006-11-07 |
| 1821193087 | Deidre M Bradley | Nurse Practitioner | 5500 Armstrong Rd., Battle Creek, MI 49015 | 2006-09-13 |
| Find all providers in BATTLE CREEK | ||||
| City | BATTLE CREEK |
| Zip Code | 49015 |
Please comment or provide details below to improve the information on SHANTAE 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.