MR. LUKE A. JOHANSON (NPI# 1942649850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942649850 |
| Entity Type | Individual |
| Full Name | MR. LUKE A. JOHANSON |
| Credential | FNP |
| Practice Address |
515 22nd Avenue Monroe Clinic Monroe WI 53566-1569 |
| Mailing Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083242222 |
| Practice Fax Number | 7403335171 |
| Mailing Telephone | (740) 333-2234 |
| Mailing Fax Number | 7403333881 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2017-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14520.NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0098667 | 05 |
| Street Address |
515 22ND AVENUE MONROE CLINIC |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598711699 | Jennifer L. Cilino-folks | Psychologist | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-05-26 |
| 1346647252 | Sarah C. Endsley | Physician Assistant | 515 22nd Avenue, Monroe, WI 53566 | 2014-11-21 |
| 1609272491 | Kirsten L Harn | Nurse Practitioner | 515 22nd Avenue, Monroe, WI 53566-1569 | 2014-11-06 |
| 1982048070 | Joshua P. Schulist | Student in an Organized Health Care Education/Training Program | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2013-04-19 |
| 1164711081 | Adam J. Schiro | Student in an Organized Health Care Education/Training Program | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2011-03-31 |
| 1700193661 | Kristine E. Fosler | Nurse Practitioner | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2010-09-13 |
| 1003148677 | Monroe Clinic | Clinic/Center | 515 22nd Avenue, Monroe, WI 53566-1569 | 2010-02-08 |
| 1114947801 | Christine K. Milovani | Social Worker | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-07-19 |
| 1144256017 | John Alexander | Internal Medicine | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
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| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
| Find all providers in MONROE | ||||
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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.