KELLY JOHNSON (NPI# 1942651039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942651039 |
| Entity Type | Individual |
| Full Name | KELLY JOHNSON |
| Credential | NP |
| Practice Address |
1 Parkland Dr Derry NH 03038-2746 |
| Mailing Address |
348 Joe English Rd New Boston NH 03070 |
| Practice Telephone | 6035824700 |
| Mailing Telephone | 6035824700 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
059616-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
| 1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
| 1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
| 1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
| 1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
| 1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
| 1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
| 1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
| 1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
| 1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
| Street Address |
1 PARKLAND DR |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319687 | Nicholas Tzavalas | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2006-01-05 |
| 1730788373 | Michael Stafford | Specialist/Technologist, Other | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-10-24 |
| 1811500424 | Hca Health Services of New Hampshire, Inc. | Psychiatric Unit | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-25 |
| 1225648702 | Kendra Snyder Huckins | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-09 |
| 1720612054 | Kyle Cahill | Occupational Therapist | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-25 |
| 1336771880 | Kristen Poole Flagg | Dietitian, Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-12 |
| 1861950651 | Anesthesia Associates of New England PC | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2019-03-11 |
| 1275041642 | Justin Keaton Smith | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2018-01-18 |
| 1508384645 | Ann Gitonga Kumbani | Nurse Anesthetist, Certified Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-09-08 |
| 1801319710 | Justin Herbert Soule | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1225648702 | Kendra Snyder Huckins | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-09 |
| 1063066298 | Sarah Matson | Nurse Practitioner | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-07-25 |
| 1821569880 | Sarah Beth Clark | Nurse Practitioner | 6 Tsienneto Road, Suite 300, Derry, NH 03038 | 2018-12-16 |
| 1962955849 | Margaret Donovan | Nurse Practitioner | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2016-07-27 |
| 1811367253 | Felicia Uzuyem | Nurse Practitioner | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2015-09-28 |
| 1700214251 | Michelle Joan Cleary | Nurse Practitioner | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2013-10-18 |
| 1194027540 | Jan Marie Levesque | Nurse Practitioner | 14 Tsienneto Rd Ste 200a, Derry, NH 03038 | 2010-11-17 |
| 1942393988 | Danielle M Paquette | Nurse Practitioner | 14a Tsienneto Rd, Derry, NH 03038-1505 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534864 | Jayme Newell | Nurse Practitioner | 73 Elanor Way, Weare, NH 03281-5560 | 2020-09-28 |
| 1417563560 | Virtualnp, LLC | Nurse Practitioner | 11 Melissa Dr, Nashua, NH 03062-3643 | 2020-09-23 |
| 1013523422 | Mood Clinic Pllc | Nurse Practitioner | 56 Durham Rd Unit 54, Dover, NH 03820-4478 | 2020-09-21 |
| 1720694334 | Alainna Belanger Drieze | Nurse Practitioner | 11 Fieldstone Dr, Londonderry, NH 03053-2700 | 2020-09-18 |
| 1316559073 | Lisa R Kailey | Nurse Practitioner | 49 Colt Ln, Epping, NH 03042-3142 | 2020-08-23 |
| 1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
| 1457962623 | Kelsey Kilgore | Nurse Practitioner | 175 Hurricane Hill Rd, Mason, NH 03048-3903 | 2020-08-12 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1629691894 | Johanna Rodriguez | Nurse Practitioner | 62 Albin Rd, Bow, NH 03304-3707 | 2020-05-22 |
| 1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
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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.