DIANE RENEE JOHNSON (NPI# 1952380008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952380008 |
| Entity Type | Individual |
| Full Name | DIANE RENEE JOHNSON |
| Credential | PA-C |
| Practice Address |
270 W Lake Mead Pkwy Henderson NV 89015 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7028775199 |
| Mailing Telephone | 7028775199 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1980 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA1320 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 354 Birnie Ave, Springfield, MA 011071108 | 4137333470 | 4137324216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241101 | Diane Mae Johnson | Counselor | 1345 E Madison Ave Spc 24, El Cajon, CA 92021-8535 | 2020-06-26 |
| 1093192759 | Diane Mason Johnson | Speech-Language Pathologist | 612 Travis St Apt 11d, Kerrville, TX 78028-4767 | 2015-05-01 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1295098127 | Diane Renee Johnson | Occupational Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2012-06-15 |
| 1992015952 | Diane Johnson | Registered Nurse | 28 Red Maple Rd, Saugerties, NY 12477-9326 | 2010-10-08 |
| 1124271895 | Diane Natasha Johnson | Occupational Therapist | 2 Law St, Valley Stream, NY 11580-1018 | 2008-10-28 |
| 1952562001 | Diane Karen Johnson | Occupational Therapist | 175 Suncrest Rd, Talent, OR 97540-8686 | 2008-06-20 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1366643009 | Diane Karen Johnson | Physician Assistant | 955 Lowes Ln, Mt Vernon, TX 75457-9601 | 2007-05-30 |
| 1255546768 | Diane Elizabeth Johnson | Psychologist | 219 W Patison St, Port Hadlock, WA 98339-9710 | 2007-05-10 |
| Street Address |
270 W LAKE MEAD PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671639 | Mariam Hanna | Student in an Organized Health Care Education/Training Program | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2019-10-18 |
| 1588016430 | Julie Michelle Laplante | Nurse Practitioner | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2016-07-04 |
| 1871961797 | Eric Haralson | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2015-09-09 |
| 1184092272 | Adrienne Kemp | Nurse Practitioner | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2015-09-08 |
| 1245622646 | Eric Fergen | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2015-02-23 |
| 1083017081 | Marcus Pace | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2014-10-03 |
| 1538418934 | Jason Daniel Fagan | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015 | 2012-08-31 |
| 1972883320 | Hava G Lavine | Nurse Practitioner | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2011-08-17 |
| 1275701617 | Naysha Mya Isom | Family Medicine | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2008-02-19 |
| 1184737330 | Ian John Fero | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| 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 |
|---|---|---|---|---|
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| 1982241261 | Anna Liang | Physician Assistant | 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 | 2019-12-05 |
| 1194369710 | Brooke Lauren Cossaboom | Physician Assistant | 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 | 2019-11-06 |
| 1316407810 | Joseph William Rozmus IIi | Physician Assistant | 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 | 2019-03-21 |
| 1164996419 | Emily Taylor Relles | Physician Assistant | 71 Falcon Feather Way, Henderson, NV 89012-5835 | 2019-01-18 |
| 1528511516 | Clinton Matthew Emmons | Physician Assistant | 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 | 2016-07-26 |
| 1447616404 | Marcos Gomez | Physician Assistant | 121 Pettswood Dr, Henderson, NV 89002-3390 | 2016-01-06 |
| 1407244593 | Laura Schmitt | Physician Assistant | 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 | 2014-12-26 |
| 1740602275 | Tanner J Smith | Physician Assistant | 830 Carnegie St Apt 623, Henderson, NV 89052-5734 | 2014-01-17 |
| Find all providers in HENDERSON | ||||
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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.