HEATHER JOHNSON (NPI# 1841661287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841661287 |
Entity Type | Individual |
Full Name | HEATHER JOHNSON |
Other Name | HEATHER MITCHELL |
Practice Address |
611 S Marshall Ave Mc Leansboro IL 62859-1213 |
Mailing Address |
62 Il Highway 14 Enfield IL 62835-2314 |
Practice Telephone | 6186432361 |
Mailing Telephone | 6183848332 |
Enumeration Date | 2015-10-12 |
Last Update Date | 2017-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 209014879 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 71005773A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209014879 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71005773A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023621760 | Heather Nicole Johnson | Nurse Practitioner | 13486 Springhill Ct Apt Suite, Winnebago, IL 61088-8054 | 2020-08-24 |
1417596685 | Heather Johnson | Social Worker | 1815 Crescent Dr, Champaign, IL 61821-5829 | 2020-01-05 |
1538633284 | Heather Allison Johnson | Registered Nurse | 1009 Terry Ranch Rd, Cheyenne, WY 82007-9708 | 2019-01-16 |
1457820706 | Heather Blythe Johnson | Occupational Therapy Assistant | 15620 Opal Fire Dr, Austin, TX 78728-3655 | 2018-11-15 |
1235605270 | Heather Renee Johnson | Nurse Practitioner | 6699 Corte Maria, Carlsbad, CA 92009-5917 | 2018-10-17 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1275049249 | Heather Rose Johnson | Early Intervention Provider Agency | 166 Centre Ave, Middleboro, MA 02346-2053 | 2017-12-28 |
1508387937 | Heather A Johnson | Massage Therapist | 3041 Aldrich Ave S, Minneapolis, MN 55408-2802 | 2017-07-06 |
1700251246 | Heather Johnson | Behavioral Analyst | 390 Mac Arthur Blvd, Hauppauge, NY 11788-3057 | 2015-12-09 |
1467834978 | Heather Lee Johnson | Registered Nurse | 2406 Buckhorn Ave, Schofield, WI 54476-5145 | 2015-06-19 |
Street Address |
611 S MARSHALL AVE |
City | MC LEANSBORO |
State | IL |
Zip Code | 62859-1213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366446395 | Asuncion R. Cope | Family Medicine | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2005-06-08 |
1962974741 | Emily Harris | Physician Assistant | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2018-12-18 |
1184160855 | Morgan Warren | Nurse Practitioner | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2017-01-18 |
1881934446 | Lisa L Healy | Physical Therapy Assistant | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2013-02-19 |
1720328503 | Denise Marie Browning | Physical Therapy Assistant | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2013-02-15 |
1295075000 | Candace Lee Mitchell | Occupational Therapy Assistant | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2013-02-15 |
1902158975 | Deborah Ann Burns | Physician Assistant | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2012-10-15 |
1922357300 | Kathryn J Seely | Physical Therapist | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2012-08-31 |
1861624579 | Brian Thomas Burns | Family Medicine | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2009-08-13 |
1679719934 | Christopher Greater Area Rural Health Planning Corporation | Family Medicine | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2008-12-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639598220 | Emily Knight | Speech-Language Pathologist | 10499 County Rd. 700 N., Mc Leansboro, IL 62859 | 2014-04-10 |
1235422130 | Hamilton Memorial Nursing and Rehabilitation Center, L.L.C. | Skilled Nursing Facility | 609 S Marshall Avenue, Mcleansboro, IL 62859 | 2011-05-25 |
1558673152 | Sai Prashanth Babu Palepu | Family Medicine | 611 South Marshall, Mcleansboro, IL 62859 | 2010-07-12 |
1831329416 | Nikki Diane Lynch | Occupational Therapy Assistant | Rr3 Box 108, Mcleansboro, IL 62859 | 2009-07-17 |
1952576639 | Rci Wrs Inc | Clinic/Center | 208 B South Washington Street, Mcleansboro, IL 62859 | 2008-04-24 |
1215110903 | Hamilton County Health Department | Clinic/Center | Courthouse Room 5, Mcleansboro, IL 62859 | 2007-12-17 |
1366504888 | Crossroads Physician Corp | Physician Assistant | 208 S Washington Street, Mcleansboro, IL 62859 | 2006-12-14 |
1033291034 | Brett Allen Watkins | Chiropractor | 301 S Jackson, Mcleansboro, IL 62859 | 2006-10-19 |
1609837665 | Hamilton Memorial Hospital District | Clinic/Center | 611 S Marshall Avenue, Mcleansboro, IL 62859 | 2006-03-30 |
1437650116 | Deaconess Specialty Physicians, Inc | Internal Medicine | 206 S Washington St, Mc Leansboro, IL 62859 | 2018-02-27 |
Find all providers in zip 62859 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
Find all providers with the same taxonomy |
City | MC LEANSBORO |
Zip Code | 62859 |
Please comment or provide details below to improve the information on HEATHER 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.