ELIZABETH JOHNSON (NPI# 1073883146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073883146 |
| Entity Type | Individual |
| Full Name | ELIZABETH JOHNSON |
| Credential | FNP |
| Practice Address |
1111 W Pearce Blvd Wentzville MO 63385-1020 |
| Practice Telephone | 6368873020 |
| Practice Fax Number | 6368873022 |
| Mailing Telephone | 6368873020 |
| Mailing Fax Number | 6368873022 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011040126 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1275169138 | Elizabeth Layla Johnson | Social Worker | 978 Dekalb Ave Apt 3, Brooklyn, NY 11221-6404 | 2020-03-22 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1174013957 | Elizabeth Johnson | Psychologist | 322 5th Ave Apt A, San Francisco, CA 94118-2310 | 2018-05-16 |
| 1245739937 | Elizabeth Anne Johnson | Specialist/Technologist | 900 Nw Bryant St, Pullman, WA 99163-3009 | 2018-02-08 |
| 1720591886 | Elizabeth Michele Johnson | Licensed Practical Nurse | 16 Dartmouth Rd, Highland Mills, NY 10930-2605 | 2017-11-13 |
| 1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
| 1619495934 | Elizabeth Johnson | Speech-Language Pathologist | 103 Briarbrook Dr, East Peoria, IL 61611-4474 | 2017-09-07 |
| 1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
| 1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
| Street Address |
1111 W PEARCE BLVD |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000932 | Kathryn C Steinmann | Licensed Practical Nurse | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2005-08-17 |
| 1558765362 | Megan Elizabeth Gibbons | Nurse Practitioner | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2014-10-22 |
| 1902815863 | Our Urgent Care, LLC | Clinic/Center | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2006-08-07 |
| 1538104229 | Sivasankara R Konala | Emergency Medicine | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2006-06-18 |
| 1619959137 | Kalugotla N Shivaram | Emergency Medicine | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285130930 | Tracy Zelphia Shaw-reese | Nurse Practitioner | 24 Birdseye Ct, Wentzville, MO 63385-4677 | 2018-04-02 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1215309984 | Lauren Clement | Nurse Practitioner | 4308 Dianna Ln, Wentzville, MO 63385-6242 | 2015-10-21 |
| 1881946358 | Susan M Tellini | Nurse Practitioner | 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2012-10-09 |
| 1760020234 | Mary Randell | Nurse Practitioner | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-12-16 |
| 1831742659 | Rachel Marie Rainey | Nurse Practitioner | 1598 W Meyer Rd, Wentzville, MO 63385-3653 | 2019-07-21 |
| 1447766233 | Jennifer Ann Staggs | Nurse Practitioner | 1021 Wentzville Pkwy, Wentzville, MO 63385-3437 | 2017-12-16 |
| 1235640582 | Gina Bertini Theisen | Nurse Practitioner | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2017-10-13 |
| 1861937930 | Dana M Fulton | Nurse Practitioner | 1413 Wentzville Pkwy, Wentzville, MO 63385-3407 | 2016-12-28 |
| 1215487863 | Rachel Leigh Landgraf | Nurse Practitioner | 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2016-10-06 |
| Find all providers in WENTZVILLE | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on ELIZABETH 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.