MISS KELLI LAURON JOHNSON (NPI# 1053826842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053826842 |
| Entity Type | Individual |
| Full Name | MISS KELLI LAURON JOHNSON |
| Credential | NP-C |
| Practice Address |
2800 North Willow Street North Little Rock AR 72114 |
| Mailing Address |
112 Chambery Dr Maumelle AR 72113-7651 |
| Practice Telephone | 5017918551 |
| Mailing Telephone | 8702246307 |
| Mailing Fax Number | 5016158818 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2017-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07171423 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985267 | Kelli Cherie Johnson | Dental Hygienist | 950 Maine Ave Sw Apt 1215, Washington, DC 20024-3461 | 2020-05-29 |
| 1871038729 | Kelli Sha'ron Johnson | Licensed Practical Nurse | 3014 Boring Ridge Dr, Decatur, GA 30034-4427 | 2017-01-02 |
| 1306269766 | Kelli Jo Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1851643423 | Kelli Almaria Johnson | Occupational Therapist | 1000 West 75th Street, Shawnee Mission, KS 66204 | 2012-10-08 |
| 1881643039 | Kelli Renee Johnson | Midwife | 802 Fisher Rd, Winter Springs, FL 32708-3642 | 2006-05-08 |
| 1538143672 | Kelli Michelle Johnson | Pharmacy Technician | 2700 Ne University Vlg, Seattle, WA 98105-5008 | 2005-12-02 |
| 1114492840 | Kelli Ann Johnson | Counselor | 107 S Division St, Spokane, WA 99202-1510 | 2018-10-09 |
| 1598266348 | Kelli Vargas Johnson | Specialist/Technologist | 900 Round Valley Dr Ste 100, Park City, UT 84060-7552 | 2018-02-27 |
| 1013429307 | Kelli Johnson | Occupational Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2017-10-26 |
| 1558889394 | Kelli Ann Johnson | Counselor | 1221 W 5th St, Sheridan, WY 82801 | 2017-08-31 |
| Street Address |
2800 NORTH WILLOW STREET |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| 1902012297 | Lee Overall | Kinesiotherapist | 2200 Ft Roots Rd, Little Rock, AR 72114 | 2007-05-15 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225693286 | Elizabeth Kirk | Nurse Practitioner | 7308 Westwind Dr, North Little Rock, AR 72113-9505 | 2019-05-06 |
| 1407350424 | Buffy Michelle Maynard | Nurse Practitioner | 3333 Springhill Drive, 2c, Women & Children's Department, North Little Rock, AR 72117-2922 | 2018-03-23 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1083956601 | Michelle Swope | Nurse Practitioner | 4901 Fairway Ave Ste C, North Little Rock, AR 72116-7178 | 2013-03-21 |
| 1447890595 | Alecia Cloird | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117-2947 | 2020-01-07 |
| 1750928784 | Jennifer Marie Lemmon | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-12-10 |
| 1053957464 | Julie Ann Hill | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-11-20 |
| 1306406806 | Susan Darnell | Nurse Practitioner | 14 Parkstone Cir, North Little Rock, AR 72116-7086 | 2019-06-17 |
| 1588223861 | Hermien Clyburn | Nurse Practitioner | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2019-06-10 |
| 1447818554 | Brian Lee Sirak | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2019-06-04 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on MISS KELLI LAURON 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.