SASHA RENAE JOHNSON (NPI# 1861956922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861956922 |
| Entity Type | Individual |
| Full Name | SASHA RENAE JOHNSON |
| Credential | NP-C |
| Practice Address |
25 Professional Park Dr Clarksville AR 72830 |
| Mailing Address |
25 Professional Park Dr Clarksville AR 72830-4432 |
| Practice Telephone | 4797058181 |
| Practice Fax Number | 4797050041 |
| Mailing Telephone | 4797058181 |
| Mailing Fax Number | 4797050041 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A006062 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
A006062 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 E Poplar St, Clarksville, AR 728304419 | 4797545454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538633045 | Sasha Johnson | Counselor | 814 Montero Dr, Montgomery, AL 36110-3224 | 2019-01-17 |
| 1912536285 | Sasha Johnson | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-04-07 |
| 1407497613 | Sasha Johnson | Counselor | 125 Chaffee St, Uniontown, PA 15401-4605 | 2019-09-30 |
| 1881104917 | Sasha Johnson | Nurse Practitioner | 175 Madison Ave, Mount Holly, NJ 08060 | 2017-10-03 |
| 1942672639 | Sasha Johnson | Counselor | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2015-10-21 |
| 1306094172 | Sasha Anette Johnson | Specialist/Technologist, Other | 498 Industrial Dr, Bristol, TN 37620-5400 | 2008-09-04 |
| Street Address |
25 PROFESSIONAL PARK DR |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669431326 | Cotner Medical Clinic | Family Medicine | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2006-03-21 |
| 1396304697 | Haley Duff | Nurse Practitioner | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2019-06-10 |
| 1619297801 | Stephanie Metcalf | Nurse Practitioner | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2010-06-10 |
| 1447485727 | Katie Elizabeth Dunkel | Nurse Practitioner | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2009-05-15 |
| 1902867070 | Robert F Noonan | Family Medicine | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2006-03-29 |
| 1477512127 | Robert Frederick Noonan Jr Md Pa | Family Medicine | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078224 | Mh Health Care Services, PC | Nurse Practitioner | 4583 Guthrie Hwy, Clarksville, TN 37040-5422 | 2019-11-25 |
| 1255819926 | Amanda Lynn Blassl | Nurse Practitioner | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 | 2018-08-03 |
| 1831693399 | Jamie Charlene Smock | Nurse Practitioner | 2945 Lily Way, Clarksville, TN 37043-5959 | 2018-03-20 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1568997344 | Louisa Jones | Nurse Practitioner | 751 Chesapeake Ln Ste 101, Clarksville, TN 37040-5263 | 2017-04-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| 1194048413 | Sherry D. Miller | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2010-03-02 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1093880205 | Elizabeth Mcgraw | Nurse Practitioner | 621 Gracey Ave, Clarksville, TN 37040-4012 | 2006-11-22 |
| 1780631945 | Lori A Middleton | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2006-05-31 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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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.