JACQUELINE JOHNSON (NPI# 1003359951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003359951 |
| Entity Type | Individual |
| Full Name | JACQUELINE JOHNSON |
| Credential | AGNP |
| Practice Address |
822 Red Tip Dr Allen TX 75002-5023 |
| Practice Telephone | 5014168045 |
| Mailing Telephone | 5014168045 |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 81-4360797 | TX | Nursing Service Providers |
| N | 164X00000X | Licensed Vocational Nurse | 81-4360797 | TX | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP143029 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 376K00000X | Nurse's Aide | 81-4360797 | TX | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1440 Carrollton Pkwy, 8207, Carrollton, TX 750101399 | 5014168045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| 1750651626 | Jacqueline E Johnson | Registered Nurse | 2 Devon Rd, Brentwood, NY 11717-2142 | 2012-01-09 |
| Street Address |
822 RED TIP DR |
| City | ALLEN |
| State | TX |
| Zip Code | 75002-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800810 | Lml Counseling Services, LLC | Community/Behavioral Health | 8505 Rasor Blvd, Plano, TX 75002 | 2020-08-05 |
| 1235779422 | Deepa Mary Mathew | Registered Nurse | 1719 Shawnee Trail, Allen, TX 75002 | 2020-01-15 |
| 1932687993 | Bec N Call Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 301 S. Cedar Drive, Allen, TX 75002 | 2018-08-01 |
| 1801388715 | Triton Medical, LLC | Durable Medical Equipment & Medical Supplies | 6800 Weiskopf Ave Suite 150, Allen, TX 75002 | 2018-06-06 |
| 1841787504 | Parley Hubler Jr Dds Pllc | Dentist | 501 S Angel Pkwy, Ste 100, Lucas, TX 75002 | 2018-04-18 |
| 1730682030 | Ks Allen Tx PC | Dentist | 121 N Greenville Ave Ste M, Allen, TX 75002 | 2018-03-13 |
| 1356842645 | Tammy Ann Eiland | Registered Nurse | 1412 Spring Street, 1412 Spring Street, Allen, TX 75002 | 2018-02-22 |
| 1770084055 | Choy Ortho-pedo Pllc | Dentist | 501 South Angel Parkway, Suite 400, Lucas, TX 75002 | 2018-02-22 |
| 1679091888 | Julie Von Gardner | Counselor | 809 Heritage Pkwy. South, Allen, TX 75002 | 2017-09-07 |
| 1255852984 | Christina Lynn Vo | Dentist | 611 Rockcrossing Ln., Allen, TX 75002 | 2017-07-03 |
| Find all providers in zip 75002 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548732662 | Eunice Yeung Lee | Nurse Practitioner | 1089 W Exchange Pkwy Apt 6104, Allen, TX 75013-7050 | 2018-12-31 |
| 1689703134 | David Lee Willis | Nurse Practitioner | 515 W Main St Ste 115, Allen, TX 75013-8057 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| 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.