ERIN MAE JOHNSON (NPI# 1023438579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023438579 |
| Entity Type | Individual |
| Full Name | ERIN MAE JOHNSON |
| Other Name | ERIN ELLIOTT/FISCHER |
| Credential | PA-C |
| Practice Address |
2601 Fieldcrest Dr Kaukauna WI 54130 |
| Mailing Address |
2601 Fieldcrest Dr Kaukauna WI 54130-4523 |
| Practice Telephone | 9204626100 |
| Mailing Telephone | 9204626100 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 327423 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2502 S Ashland Ave, Green Bay, WI 543045252 | 9202721074 | 9202721132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
| 1306407986 | Erin Azbell Johnson | Speech-Language Pathologist | 1273 Northfield Dr Ste 3, Clarksville, TN 37040-6184 | 2019-06-25 |
| 1285140335 | Erin Johnson | Registered Nurse | 10201 Tournon Dr, Fishers, IN 46037-8206 | 2017-12-26 |
| 1588191506 | Erin Kolberg Johnson | Audiologist | 5000 Us Highway 70 W Ste 103, Morehead City, NC 28557-4531 | 2017-05-22 |
| 1780125450 | Erin Johnson | Social Worker | 2531 E Pineoak Ct, Midland, MI 48642-8315 | 2017-03-15 |
| 1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1639580582 | Erin Wall Johnson | Counselor | 2915 South Burleson Blvd, Burleson, TX 76028-1445 | 2014-05-14 |
| 1326388513 | Erin Marie Johnson | Massage Therapist | 129 Meadow Ave, St Augustine, FL 32084-2248 | 2013-02-25 |
| 1730425109 | Erin Dawn Johnson | Speech-Language Pathologist | 23400 5th Ave W, Bothell, WA 98021-8529 | 2012-12-12 |
| Street Address |
2601 FIELDCREST DR |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474910 | Jamie Leigh Dewitt | Nurse Practitioner | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 2005-08-15 |
| 1710285028 | Leah Diedrick-williams | Social Worker | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 2011-03-10 |
| 1093023319 | Autumn R Miller | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 2010-09-21 |
| 1154589448 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2008-05-23 |
| 1700990538 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2006-08-18 |
| 1700870565 | John M Butitta | Internal Medicine | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| 1508860982 | City of Kaukauna | Ambulance | 201 W. Second Street, Kaukauna, WI 54130-0890 | 2005-06-13 |
| Find all providers in zip 54130 | ||||
| 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 |
|---|---|---|---|---|
| 1093023319 | Autumn R Miller | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| 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.