MRS. AMANDA BROOK JOHNSON (NPI# 1831409283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831409283 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BROOK JOHNSON |
| Credential | MSOTR/L |
| Practice Address |
11517 Kanis Rd Little Rock AR 72211-3724 |
| Mailing Address |
26 Serenity Ln Mayflower AR 72106-9420 |
| Practice Telephone | 5019937171 |
| Mailing Telephone | 5015843468 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OTR2392 | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
11517 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275664708 | Amy Melissa Graves | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2007-03-08 |
| 1760758585 | Kristen Givens King | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2012-03-26 |
| 1003190562 | Marcia Roles Bingham | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2011-10-03 |
| 1649586363 | Connie Blasingame Bracy | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2010-08-19 |
| 1871735845 | Suzanne Roberson Mcclendon | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2009-04-06 |
| 1801040266 | Cameron Ray Carlisle | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-11-12 |
| 1285885426 | Mae Lynn Smithwick | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-10-07 |
| 1548426034 | Lyndal Green | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-08-04 |
| 1700042793 | Mildred R Whitley | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-07-30 |
| 1619142361 | Greta A Hale | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932627999 | Erin Walker | Specialist | 1500 N Mississippi St, Little Rock, AR 72207-5851 | 2017-08-30 |
| 1467837575 | Riverfront Doulas, LLC | Specialist | 114 Trelon Way, Little Rock, AR 72223-3988 | 2015-07-30 |
| 1831599661 | Lashanta Mccoy | Specialist | 110 N State St, Little Rock, AR 72201-1309 | 2014-08-29 |
| 1194063990 | Robert A. Porter | Specialist | 1900 Shadow Ln, Little Rock, AR 72207-2018 | 2013-01-29 |
| 1164767281 | Jamila Hall | Specialist | 231 Markwood Dr, Little Rock, AR 72205-2409 | 2012-11-29 |
| 1215221387 | Robin Richard Jones | Specialist | 7012 Shamrock Dr, Little Rock, AR 72205-2780 | 2011-06-06 |
| 1821399684 | Ashley Nicole Greene | Specialist | 500 Napa Valley Dr Apt 614, Little Rock, AR 72211-5012 | 2010-11-10 |
| 1932429594 | Arkansas Health Group | Specialist | 9501 Baptist Health Dr Ste 810, Little Rock, AR 72205-6233 | 2010-06-07 |
| 1922339514 | William Turner Harris | Specialist | 4816 Country Club Blvd, Little Rock, AR 72207-4720 | 2010-01-20 |
| 1558592543 | John Tyler Baber, M.d. P.a. | Specialist | 500 S University Ave Ste 103, Little Rock, AR 72205-5303 | 2009-08-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on MRS. AMANDA BROOK 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.