KELSIE LAUREN JOHNSON (NPI# 1073097978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073097978 |
| Entity Type | Individual |
| Full Name | KELSIE LAUREN JOHNSON |
| Practice Address |
88 Tom Shivers Rd Flomaton AL 36441-5250 |
| Practice Telephone | 2517536750 |
| Mailing Telephone | 2517536750 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518463181 | Kelsie M Johnson | Marriage & Family Therapist | 8 S Michigan Ave Ste 500, Chicago, IL 60603-3307 | 2018-04-03 |
| 1962003145 | Kelsie Johnson | Technician | 1 Avenue C Ste 102, Madison, WV 25130-1100 | 2020-11-04 |
| 1356584049 | Kelsie Johnson | Registered Nurse | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2009-04-11 |
| Street Address |
88 TOM SHIVERS RD |
| City | FLOMATON |
| State | AL |
| Zip Code | 36441-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497831184 | Brent Richard Yoder | Nurse Practitioner | 174 Hwy 113, Flomaton, AL 36441 | 2006-10-27 |
| 1679595839 | Gary M Silbernagel | Dentist | 2124 Ringold St, Flomaton, AL 36441 | 2006-07-24 |
| 1053531145 | Dura-med Southeast, Inc. | Durable Medical Equipment & Medical Supplies | 174 Hwy 113, Flomaton, AL 36441 | 2007-04-30 |
| 1497852735 | D.w. Mcmillan Memorial Hospital | Clinic/Center | 174 Highway 113, Flomaton, AL 36441-0174 | 2006-09-20 |
| 1811063399 | General Practice M Hakima Md PC | Family Medicine | 1831 Roosevelt Street, Po Drawer 1911, Flomaton, AL 36441-1911 | 2006-11-28 |
| 1689649592 | Malaika Hakima | General Practice | Po Drawer 1911, Flomaton, AL 36441-1911 | 2006-02-22 |
| 1861490476 | Scott Garner Moore | Family Medicine | 174 Highway 113, Flomaton, AL 36441-4556 | 2005-07-08 |
| 1396151924 | Brewton Medical Center Pharmacy PC | Pharmacy | 174 Highway 113, Flomaton, AL 36441-4556 | 2014-07-02 |
| 1700182755 | Billy Joe Golden Jr. | Nurse Practitioner | 174 Highway 113, Flomaton, AL 36441-4556 | 2011-02-08 |
| 1659531200 | Anna M. Lee | Internal Medicine | 174 Highway 113, Flomaton, AL 36441-4556 | 2008-06-16 |
| Find all providers in zip 36441 | ||||
| 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 |
|---|---|---|---|---|
| 1629676747 | Tully Booth Davis | Student in an Organized Health Care Education/Training Program | 705 Emerald Dr, Prattville, AL 36067-3711 | 2020-10-12 |
| 1679170823 | Terri Kast | Student in an Organized Health Care Education/Training Program | 2826 Moody Pkwy Ste A, Moody, AL 35004-3101 | 2020-10-01 |
| 1891302907 | Dyneisha Barrett | Student in an Organized Health Care Education/Training Program | 2251 Liberty Ct, Mobile, AL 36608-9145 | 2020-09-23 |
| 1174135966 | Amberlyn Nicole Baker | Student in an Organized Health Care Education/Training Program | 5370 Elgin Dr W, Grand Bay, AL 36541-3272 | 2020-08-21 |
| 1548872344 | Shelby Glynn | Student in an Organized Health Care Education/Training Program | 1200 Somerby Dr Apt 326, Mobile, AL 36695-5429 | 2020-08-21 |
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1366054496 | Marc Simon | Student in an Organized Health Care Education/Training Program | 7866 Taylor Park Rd Apt G, Montgomery, AL 36117-4769 | 2020-08-19 |
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1912518549 | Makenzie Rose-lynn Dunning | Student in an Organized Health Care Education/Training Program | 2841 Leigh Ct, Mobile, AL 36695-9794 | 2020-08-17 |
| 1093326613 | Rachael Lauren Abroms | Student in an Organized Health Care Education/Training Program | 871 W Briar Ct, Mobile, AL 36609-5167 | 2020-08-17 |
| 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.