MORIAH JOHNSON (NPI# 1750920039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750920039 |
| Entity Type | Individual |
| Full Name | MORIAH JOHNSON |
| Credential | APRN-FNP-C |
| Practice Address |
5405 N Knoxville Ave Peoria IL 61614-5016 |
| Practice Telephone | 3096914410 |
| Mailing Telephone | 3096914410 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209019632 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2406 E Empire St, Bloomington, IL 617043630 | 3096624321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316404254 | Moriah Carmen Johnson | Counselor | 686 Riverview Dr Apt 20, Columbus, OH 43202-1661 | 2019-02-27 |
| 1497137244 | Moriah Johnson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-06-28 |
| Street Address |
5405 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558336214 | Tinoy Kizhakekuttu | Internal Medicine | 5405 N Knoxville Ave, Heartcare Midwest, Peoria, IL 61614-5016 | 2006-02-17 |
| 1942859681 | Amy Underwood Fallings | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2019-09-05 |
| 1912473273 | Tien T Pham | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2018-10-15 |
| 1396254728 | Karen C Knaak | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2017-09-28 |
| 1720455611 | Elizabeth Schwandner | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2015-08-26 |
| 1558707182 | Osf Heart & Vascular Institute | Internal Medicine | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2013-05-22 |
| 1528318128 | Rebecca Wigant | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2012-09-12 |
| 1588999700 | Heather B Martin | Physician Assistant | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2009-10-06 |
| 1285876607 | Ekanka Mukhopadhyay | Internal Medicine | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2009-03-31 |
| 1891950713 | Chetan Bhardwaj | Internal Medicine | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2008-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034215 | Lia Doh | Nurse Practitioner | 8357 W Rosewood Ln, Peoria, AZ 85383-3869 | 2020-02-05 |
| 1285274027 | Chauntel M Nessmith | Nurse Practitioner | 7540 W Jenan Dr, Peoria, AZ 85345-1367 | 2020-01-09 |
| 1003450925 | Kimberly Ann Flores | Nurse Practitioner | 12118 W Avenida Del Rey, Peoria, AZ 85383-5819 | 2019-11-04 |
| 1821630666 | Leesa K Jost | Nurse Practitioner | 8914 N Prairie Pointe Rd, Peoria, IL 61615-1574 | 2019-10-14 |
| 1942842018 | Tamarra Lynn Subyantoro | Nurse Practitioner | 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614-4686 | 2019-10-10 |
| 1255981593 | Eunmee Hong | Nurse Practitioner | 21369 N 79th Dr, Peoria, AZ 85382-4453 | 2019-09-18 |
| 1295297737 | Tasha R Besser | Nurse Practitioner | 5114 N Glen Park Place Rd Ste 220, Peoria, IL 61614-4686 | 2019-04-03 |
| 1669936506 | Kristin Danielle Downs | Nurse Practitioner | 10408 N Centerway Dr, Peoria, IL 61615-1234 | 2019-01-24 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1538665609 | Tara Moore | Nurse Practitioner | 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 | 2018-04-05 |
| Find all providers in PEORIA | ||||
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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.