KELSEY JOHNSON (NPI# 1790249951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790249951 |
| Entity Type | Individual |
| Full Name | KELSEY JOHNSON |
| Credential | PA-C |
| Practice Address |
1100 W 2700 N Pleasant View UT 84404-4791 |
| Mailing Address |
4650 Harrison Blvd Ogden UT 84403-4303 |
| Practice Telephone | 8014753600 |
| Practice Fax Number | 8014753601 |
| Mailing Telephone | 8014753000 |
| Mailing Fax Number | 8014753414 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10865375-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | GROUP | 1578550083 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705490 | Kelsey Johnson | Student in an Organized Health Care Education/Training Program | 3919 E 181st St S, Bixby, OK 74008-5607 | 2020-09-18 |
| 1811516370 | Kelsey Alise Johnson | Behavior Technician | 201 Walden Dr, Fruitland, MD 21826-1331 | 2020-04-14 |
| 1669029567 | Kelsey Susanne Johnson | Physical Therapist | 2121 Fountain Dr Ste E, Snellville, GA 30078-2900 | 2019-08-25 |
| 1265912810 | Kelsey Kathleen Johnson | Massage Therapist | 1209 11th St Ste 3, Bellingham, WA 98225-7000 | 2018-08-14 |
| 1376037945 | Kelsey Mitchell Johnson | Student in an Organized Health Care Education/Training Program | 23924 Se 186th St, Maple Valley, WA 98038-7214 | 2018-06-18 |
| 1366940041 | Kelsey Marie Johnson | Social Worker | 6105 S Kimbark Ave Apt 1s, Chicago, IL 60637-2850 | 2018-01-26 |
| 1972985430 | Kelsey Johnson | Speech-Language Pathologist | 41769 Enterprise Cir N Ste 104&105, Temecula, CA 92590-5626 | 2015-06-22 |
| 1083022354 | Kelsey Kay Johnson | Dietitian, Registered | 673 Woodland Square Loop Se, Suite 330, Lacey, WA 98503-1066 | 2014-07-30 |
| 1811595093 | Kelsey Johnson | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2020-10-11 |
| 1598362667 | Kelsey Alaina Johnson | Behavior Technician | 1167 W Baltimore Pike # 258, Media, PA 19063-5127 | 2020-10-02 |
| Street Address |
1100 W 2700 N |
| City | PLEASANT VIEW |
| State | UT |
| Zip Code | 84404-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417944083 | Carolyn A Belfry | Family Medicine | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2005-09-29 |
| 1245696913 | Taylor Swenson IIi | Nurse Practitioner | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2016-01-11 |
| 1134596257 | Makinzee Rae Kemp | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2015-08-24 |
| 1801226980 | Christopher J Harris | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2013-11-26 |
| 1518302850 | Darek Eggleston | Family Medicine | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2013-04-30 |
| 1093965188 | Zane H Williams | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2008-09-24 |
| 1730370479 | Roe Rx Inc | Pharmacy | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2007-08-07 |
| 1922204775 | Randy Simpliciano Alejo | Obstetrics & Gynecology | 1100 W 2700 N, Pleasant View, UT 84404-1217 | 2007-06-26 |
| 1992859607 | Jason V Church | Pediatrics | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2007-01-22 |
| 1578527909 | Brett J Arbon | Nurse Practitioner | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596257 | Makinzee Rae Kemp | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2015-08-24 |
| 1801226980 | Christopher J Harris | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2013-11-26 |
| 1174860696 | Oluwaseyi Anna Erinle | Physician Assistant | 6509 Highway 41a, Suite 100, Pleasant View, TN 37146-7170 | 2013-01-04 |
| 1093965188 | Zane H Williams | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2008-09-24 |
| 1891774196 | Jeffrey Ryan | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2006-01-13 |
| 1700875333 | Michelle Wasden | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2005-10-17 |
| 1467441089 | Damon B Marsh | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1164020830 | Abbey Coburn | Physician Assistant | 6028 S Ridgeline Dr Ste 200, Ogden, UT 84405-6906 | 2020-10-14 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1518583566 | Alexanders Fitness Company LLC | Physician Assistant | 245 S 1060 W, Lindon, UT 84042-1606 | 2020-06-24 |
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT VIEW |
| Zip Code | 84404 |
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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.