MATTHEW JOHNSON (NPI# 1023523016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023523016 |
Entity Type | Individual |
Full Name | MATTHEW JOHNSON |
Practice Address |
51 Armstrong Rd Enfield CT 06082-2731 |
Practice Telephone | 8607634636 |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
Street Address |
51 ARMSTRONG RD |
City | ENFIELD |
State | CT |
Zip Code | 06082-2731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
Find all providers in zip 06082 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
1275010928 | Alexis Algarin | Student in an Organized Health Care Education/Training Program | 52 Meadowlark Rd, Enfield, CT 06082-5508 | 2018-07-25 |
1952780942 | Teresa Elizabeth Richard | Student in an Organized Health Care Education/Training Program | 366 George Washington Rd, Enfield, CT 06082-2650 | 2015-05-22 |
1770145476 | Deanna Wohlers | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2019-07-02 |
1578036455 | Angela Gheen | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2019-01-03 |
1295208171 | Christine Grimaldi | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2019-01-03 |
1396216222 | Sarah Belanger | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-12-17 |
1003391442 | Julianne Bernstein | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-10-02 |
1396226619 | Areadner Cruz | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-08-24 |
1275013419 | Michelle Ann Parisan | Student in an Organized Health Care Education/Training Program | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-08-17 |
Find all providers in ENFIELD |
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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.