DR. KELSEY JOHNSON (NPI# 1821601584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821601584 |
| Entity Type | Individual |
| Full Name | DR. KELSEY JOHNSON |
| Practice Address |
2203 E Oakland Ave Bloomington IL 61701-5760 |
| Practice Telephone | 3096636341 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051303240 | IL | Pharmacy Service Providers |
| 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 |
2203 E OAKLAND AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417380734 | Cynthia Daggy | Pharmacist | 2203 E Oakland Ave, Bloomington, IL 61701-5760 | 2013-08-11 |
| 1043857238 | Jason Knox | Pharmacist | 2203 E Oakland Ave, Bloomington, IL 61701-5760 | 2019-12-05 |
| 1265928147 | Kayla Maureen Hughes | Pharmacist | 2203 E Oakland Ave, Bloomington, IL 61701-5760 | 2018-07-03 |
| 1518315696 | Jamie Tidaback | Pharmacist | 2203 E Oakland Ave, Bloomington, IL 61701-5760 | 2016-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980813 | Ambika Soni | Pharmacist | 2103 N Veterans Pkwy Unit 3, Bloomington, IL 61704-0908 | 2020-04-15 |
| 1548805104 | Jasjeet Singh Waraitch | Pharmacist | 2650 S Walnut St, Bloomington, IN 47401-7302 | 2019-11-07 |
| 1740791250 | Sara Vande Walle | Pharmacist | 8400 Normandale Lake Blvd Ste 700, Bloomington, MN 55437-3810 | 2017-10-24 |
| 1487171682 | Brenden James King | Pharmacist | 645 S Rogers St Ste C, Bloomington, IN 47403-2353 | 2017-08-28 |
| 1356897391 | Brittany Ann Oliver | Pharmacist | 800 N Smith Rd, Apt G11, Bloomington, IN 47408-2928 | 2016-08-30 |
| 1073987152 | Christopher Bennett | Pharmacist | 48 Pebblebrook Ct, Bloomington, IL 61705-6300 | 2015-11-30 |
| 1912374505 | Alphonsus M Brady | Pharmacist | 2510 E Washington St, Apt #13, Bloomington, IL 61704-4447 | 2015-08-31 |
| 1376928853 | Cory Patterson | Pharmacist | 2104 Hackberry Rd, Bloomington, IL 61704-2788 | 2015-07-24 |
| 1689062671 | Lester Burris II | Pharmacist | 2424 S Walnut St, Bloomington, IN 47401-7730 | 2014-12-30 |
| 1053718510 | Dhaval H Patel | Pharmacist | 2001 S Morris Ave, 16, Bloomington, IL 61704-7293 | 2014-11-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.