LAURALIE JOHNSON (NPI# 1033638168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033638168 |
| Entity Type | Individual |
| Full Name | LAURALIE JOHNSON |
| Credential | ACNP |
| Practice Address |
710 S Central Ave Ste 100 Glendale CA 91204-4613 |
| Mailing Address |
1107 Fair Oaks Ave # 299 South Pasadena CA 91030-3311 |
| Practice Telephone | 8186604490 |
| Mailing Telephone | 8585251575 |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2017-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95007354 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
710 S CENTRAL AVE STE 100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390728 | Brian Glynn | Chiropractor | 710 S Central Ave Ste 100, Glendale, CA 91204-4613 | 2019-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841847548 | Donald Michael Anzalone | Nurse Practitioner | 6396 W Pontiac Dr, Glendale, AZ 85308-6668 | 2019-08-19 |
| 1013471309 | Anthony James Shaw | Nurse Practitioner | 7190 W Fleetwood Ln, Glendale, AZ 85303-7606 | 2019-01-30 |
| 1295216190 | Malar Kuppan | Nurse Practitioner | 12610 N 58th Ave, Glendale, AZ 85304-1891 | 2018-08-28 |
| 1093111387 | James Simmons | Nurse Practitioner | 419 Roads End St, Glendale, CA 91205-3331 | 2014-11-13 |
| 1265861397 | Ronnell Regidor | Nurse Practitioner | 435 Arden Ave Ste 310, Glendale, CA 91203-4014 | 2013-11-08 |
| 1750844759 | Lesly Ghiglino Duetsch | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-04-08 |
| 1750866422 | Elizabeth Terzyan | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-09-28 |
| 1639653793 | Virginia Zambroski | Nurse Practitioner | 655 N Central Ave, Glendale, CA 91203-1422 | 2018-09-24 |
| 1083193478 | Katrin Minasian | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-08-07 |
| 1659859510 | Liana Baghumyan | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-08-02 |
| Find all providers in GLENDALE | ||||
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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.