MS. KELSEY LAUREN JOHNSON


Address: 24 Frank Lloyd Wright Drive, Domino's Farms, Lobby A, Ann Arbor, MI 48105-9484
Phone: 7349307400

MS. KELSEY LAUREN JOHNSON (NPI# 1942736194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942736194
Entity Type Individual
Full Name MS. KELSEY LAUREN JOHNSON
Credential PA-C
Practice Address 24 Frank Lloyd Wright Drive
Domino's Farms, Lobby A
Ann Arbor
MI 48105-9484
Mailing Address 3621 S State St
700 Kms Place
Ann Arbor
MI 48108
Practice Telephone 7349307400
Mailing Telephone (734) 936-2047
Enumeration Date 2017-05-10
Last Update Date 2017-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601008179 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELSEY JOHNSON

NPI Name Taxonomy Address Enumeration
1831705490 Kelsey Johnson Student in an Organized Health Care Education/Training Program 3919 E 181st St S, Bixby, OK 74008-5607 2020-09-18
1811516370 Kelsey Alise Johnson Behavior Technician 201 Walden Dr, Fruitland, MD 21826-1331 2020-04-14
1669029567 Kelsey Susanne Johnson Physical Therapist 2121 Fountain Dr Ste E, Snellville, GA 30078-2900 2019-08-25
1265912810 Kelsey Kathleen Johnson Massage Therapist 1209 11th St Ste 3, Bellingham, WA 98225-7000 2018-08-14
1376037945 Kelsey Mitchell Johnson Student in an Organized Health Care Education/Training Program 23924 Se 186th St, Maple Valley, WA 98038-7214 2018-06-18
1366940041 Kelsey Marie Johnson Social Worker 6105 S Kimbark Ave Apt 1s, Chicago, IL 60637-2850 2018-01-26
1972985430 Kelsey Johnson Speech-Language Pathologist 41769 Enterprise Cir N Ste 104&105, Temecula, CA 92590-5626 2015-06-22
1083022354 Kelsey Kay Johnson Dietitian, Registered 673 Woodland Square Loop Se, Suite 330, Lacey, WA 98503-1066 2014-07-30
1811595093 Kelsey Johnson Occupational Therapy Assistant 9109 Liberty Rd, Randallstown, MD 21133-3521 2020-10-11
1598362667 Kelsey Alaina Johnson Behavior Technician 1167 W Baltimore Pike # 258, Media, PA 19063-5127 2020-10-02

Office Location

Street Address 24 FRANK LLOYD WRIGHT DRIVE
DOMINO'S FARMS, LOBBY A
City ANN ARBOR
State MI
Zip Code 48105-9484

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457384067 Regents of The University of Michigan Orthopaedic Surgery 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48105 2006-07-08
1245732791 Jamie Wisniewski Physical Therapy Assistant 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 2018-03-01
1164924627 Amanda Renea Eggleston Physical Therapy Assistant 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 2018-03-01
1801291315 Progressive Sleep, Plc Family Medicine 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106-0326 2014-10-27
1033524335 Regents of The University of Michigan Pediatrics 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105 2014-06-25
1033524764 Daniel Shelden Internal Medicine 24 Frank Lloyd Wright Drive, Lobby G, Suite 1500, Ann Arbor, MI 48106 2014-06-20
1427327618 Karen Engfehr Specialist/Technologist 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106-0391 2011-12-19
1245521848 Elizabeth Anne Jeffery Nurse Practitioner 24 Frank Lloyd Wright Drive, Lobby M Level 2, Ann Arbor, MI 48105-9484 2011-04-29
1578881041 Mari Paz Castanedo Tardan Dermatology 24 Frank Lloyd Wright Drive, Lobby H Suite 2350, Ann Arbor, MI 48105-9484 2010-05-09
1962732156 Adeyiza Olutoyin Momoh Orthopaedic Surgery 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105-9484 2010-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1417515875 Christine Shyh Wang Student in an Organized Health Care Education/Training Program 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2019-05-31
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1801366265 Amruta Sonavaria Physical Therapist 4701 East Huron River Drive, Ann Arbor, MI 48105 2018-11-28
1568955730 Alexander Sliwicki Pediatrics 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 2018-06-12
1902398464 Austin Remington Student in an Organized Health Care Education/Training Program 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2018-05-31
1881191658 Stephen James Hickner Student in an Organized Health Care Education/Training Program St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 2018-04-09
1245681709 Winnie Nhan Internal Medicine 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 2016-06-27
1861857971 Connie Chen Pharmacist 2215 Fuller Road (119), Ann Arbor, MI 48105 2015-12-17
1407241193 Stefan Craciun Emergency Medicine 3484 Ashburnam Rd, Ann Arbor, MI 48105 2015-03-31
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609483080 Bernice Li Physician Assistant 2299 Hickory Point Dr, Ann Arbor, MI 48105-9291 2020-09-29
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1992278444 Torsten B Berg Physician Assistant 2906 Chesterfield St, Ann Arbor, MI 48104-6512 2019-01-08
1548658644 Ashley Lopresto Physician Assistant 2000 Green Rd, Ste 300, Emergency Physicians Medical Group, Ann Arbor, MI 48105 2014-12-26
1255565685 Erin Elizabeth Van Tiem Physician Assistant 706 W Huron St Ste 201, Ann Arbor, MI 48103 2009-05-13
1508943663 Jason J Grove Physician Assistant 1500 E Medical Center Dr, 3rd Floor Recp. A Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 2006-11-01
1205852902 Kevin C Eves Physician Assistant 2098 South Main Street, Ann Arbor, MI 48103 2006-07-14
1336199165 Suzanne Beth Eiss Physician Assistant 2098 South Main St, Ann Arbor, MI 48103-5827 2006-05-11
1811946379 Christianne Elizabeth Marshall Physician Assistant 1500 East Medical Center Dr, 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4217 2006-05-10
1699734939 Richard J Sartori Physician Assistant 706 W. Huron St, Ann Arbor, MI 48103 2006-03-23
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Competitor

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City ANN ARBOR
Zip Code 48105

Improve Information

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Dataset Information

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.

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