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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601008179 | MI | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
24 FRANK LLOYD WRIGHT DRIVE DOMINO'S FARMS, LOBBY A |
City | ANN ARBOR |
State | MI |
Zip Code | 48105-9484 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 48105 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in ANN ARBOR |
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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.