SIMIRA JOHNSON (NPI# 1902213697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902213697 |
| Entity Type | Individual |
| Full Name | SIMIRA JOHNSON |
| Credential | NP |
| Practice Address |
15474 N Haggerty Rd Plymouth MI 48170-4893 |
| Mailing Address |
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0871 |
| Practice Telephone | 7343356103 |
| Practice Fax Number | 7344045317 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6307344715 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704239161 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1235125717 | 05 |
| Street Address |
15474 N HAGGERTY RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831119981 | Akshay B Shah | Specialist | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2006-07-20 |
| 1689048415 | Mary Connors | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2015-11-17 |
| 1861806101 | Vanita Suzanni Robinson | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2014-06-15 |
| 1275953747 | Kathleen Szkutnicki | Registered Nurse | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2014-04-23 |
| 1841530250 | Metro Infectious Disease Consultants, LLC | Home Infusion | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2013-02-21 |
| 1902172976 | Carly Anne Niemczewski | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2012-03-23 |
| 1811277957 | Farah Tanveer | Internal Medicine | 15474 N Haggerty Rd, Plymouth, MI 48170 | 2011-08-21 |
| 1194004523 | Elizabeth Ashley Kozak | Physician Assistant | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2011-08-16 |
| 1174787956 | Tejal Mehta | Internal Medicine | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2008-07-11 |
| 1205002102 | Hend Abdul-jauwad | Internal Medicine | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1710417852 | Lois Joyce Roberson | Nurse Practitioner | 1032 Us Highway 64 E, Plymouth, NC 27962-9215 | 2017-06-12 |
| 1407221013 | Teresa June Taylor | Nurse Practitioner | 320 Court St., Plymouth, MA 02360 | 2015-12-08 |
| 1730558313 | Kendra Broussard | Nurse Practitioner | 101 Court St Ste 8, Plymouth, MA 02360-8718 | 2015-09-24 |
| 1285043828 | Georgia T Foudy | Nurse Practitioner | 258 Plympton Rd, Plymouth, MA 02360-4644 | 2014-08-07 |
| 1629329867 | Erin Duff | Nurse Practitioner | 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 | 2012-09-27 |
| 1760731798 | Daniel D. Tanner | Nurse Practitioner | 105 Water St, Plymouth, IN 46563-2148 | 2012-09-06 |
| 1144508904 | Kyle M Farr | Nurse Practitioner | 640 Starkweather St Ste C, Plymouth, MI 48170-1371 | 2011-07-28 |
| 1649372608 | Laura Ann Dansel | Nurse Practitioner | 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 | 2006-09-01 |
| 1659336303 | Catherine T. Milne | Nurse Practitioner | 204 Keegan Rd, Plymouth, CT 06782-2608 | 2006-04-18 |
| 1881686996 | Janet Marie Lincoln | Nurse Practitioner | 8 Pilgrim Hill Rd, Minuteclinic/target Primary Practice 8 Pilgrim Hill Rd, Plymouth, MA 02360-6123 | 2005-08-16 |
| Find all providers in PLYMOUTH | ||||
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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.