NICOLE JOHNSON (NPI# 1760849954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760849954 |
| Entity Type | Individual |
| Full Name | NICOLE JOHNSON |
| Practice Address |
58 Garden Dr Alexandria VA 22304-4928 |
| Practice Telephone | 2024929083 |
| Mailing Telephone | 7037065353 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | DC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 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 |
| Street Address |
58 GARDEN DR |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397754 | Shannon Deann Belt | Developmental Therapist | 6084 N Daden Dr, Alexandria, IN 46001-9227 | 2020-02-06 |
| 1508388612 | Lopez & Associates Therapy Group, PC | Developmental Therapist | 1602 Belle View Blvd., Suite 735, Alexandria, VA 22307 | 2017-07-10 |
| 1447441258 | Jane Virginia Begley | Developmental Therapist | 11008 Hayfield Dr., Alexandria, KY 41001-4320 | 2007-08-06 |
| 1750910691 | Sara T Platt | Developmental Therapist | 1602 Belle View Blvd Ste 735, Alexandria, VA 22307-6531 | 2020-04-03 |
| 1407320971 | Cressalyn Anane | Developmental Therapist | 5905 Sandringham Ct, Alexandria, VA 22315-4143 | 2019-01-17 |
| 1033695762 | Jaewon Lee | Developmental Therapist | 5905 Sandringham Ct, Alexandria, VA 22315-4143 | 2018-07-16 |
| 1760975601 | Adrian Marissa Hurdle | Developmental Therapist | 5905 Sandringham Ct, Alexandria, VA 22315-4143 | 2018-06-14 |
| 1871081539 | Andrea Olguin | Developmental Therapist | 5905 Sandringham Ct, Alexandria, VA 22315 | 2018-04-28 |
| 1538503743 | Kathryn Mcgrath | Developmental Therapist | 6180 Grovedale Ct Ste 200, Alexandria, VA 22310-2552 | 2013-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861843211 | Samantha Watson | Developmental Therapist | 4280 Cotswolds Hill Ln, Fairfax, VA 22030-4418 | 2016-06-27 |
| 1457701047 | Cynthia Martinez | Developmental Therapist | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2016-06-15 |
| 1821459983 | Diana Barker | Developmental Therapist | 5 Commercial Pl, Newport News, VA 23606-1339 | 2016-03-16 |
| 1891179859 | Laura Fitzpatrick | Developmental Therapist | 8059 Stillbrooke Rd, Manassas, VA 20112-4602 | 2015-07-18 |
| 1669859039 | Emily Ann Mcgrath | Developmental Therapist | 8750 Bradley Forge Dr, Manassas, VA 20112-4527 | 2015-05-05 |
| 1295131985 | Rachel Diane Douglass | Developmental Therapist | 40 Egret Ct, Stafford, VA 22554-7776 | 2014-11-07 |
| 1114321577 | Tamira Mckinley | Developmental Therapist | 225 A View Ave, Unit 107, Norfolk, VA 23503 | 2014-10-14 |
| 1851792071 | Stephanie Quirk | Developmental Therapist | 12041 Odion Ln, Woodbridge, VA 22192-5342 | 2014-09-07 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1487062030 | Jordan Mcgrath | Developmental Therapist | 2396 Wessington Dr, Virginia Beach, VA 23454-6308 | 2014-07-28 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.