JALIL ABDUL JOHNSON (NPI# 1003121351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003121351 |
| Entity Type | Individual |
| Full Name | JALIL ABDUL JOHNSON |
| Credential | NP |
| Practice Address |
140 High St Springfield MA 01105-1442 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137942511 |
| Practice Fax Number | 4137948428 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
270185 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
140 HIGH ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217318 | Sudeep K Aulakh | Internal Medicine | 140 High St, Springfield, MA 01105-1442 | 2005-07-01 |
| 1801410568 | Emanuel Omar Parrilla | Physician Assistant | 140 High St, Springfield, MA 01105-1442 | 2020-05-29 |
| 1558903484 | Jillian Mary Midghall | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-10-11 |
| 1245883610 | Katherine Newport | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-07-24 |
| 1508424268 | Veronica Marrero | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2019-05-29 |
| 1215493226 | Jessica L Rivera | Counselor | 140 High St, Springfield, MA 01105-1442 | 2019-02-14 |
| 1962977587 | Zinab Hamza Maghraby | Counselor | 140 High St, Springfield, MA 01105 | 2018-10-10 |
| 1790260925 | Alana Michelle Natale | Community/Behavioral Health | 140 High St, Springfield, MA 01105-1442 | 2018-10-03 |
| 1659854859 | Marcia Graves Roddy | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2018-09-13 |
| 1174005086 | Mary D Fleming | Social Worker | 140 High St, Springfield, MA 01199-1006 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1962906552 | Caroline Mcgarr Butler | Nurse Practitioner | 368 River St Ste 160, Springfield, VT 05156-2242 | 2018-03-20 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1598298457 | Summer Tipton | Nurse Practitioner | 2140 S Hillcrest Ave, Springfield, MO 65807-2108 | 2017-04-07 |
| 1417406489 | Amy L Peters | Nurse Practitioner | 1242 E Independence St, #200, Springfield, MO 65804-4284 | 2016-10-01 |
| 1679833271 | Sentew Care Nurse Practitioner LLC | Nurse Practitioner | 8322 Bark Tree Ct, Springfield, VA 22153-3828 | 2012-05-17 |
| 1508157140 | Springfield Internal Medicine Group | Nurse Practitioner | 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 | 2011-05-01 |
| 1043533128 | Keri Lynn Sutton | Nurse Practitioner | 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 | 2010-03-03 |
| 1093967630 | Maire Alexander | Nurse Practitioner | 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 | 2008-10-15 |
| 1790937498 | Marlene Karen Schmitz | Nurse Practitioner | 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 | 2008-10-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on JALIL ABDUL JOHNSON.
| 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.