MARQUITA JOHNIKEN (NPI# 1093265902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093265902 |
| Entity Type | Individual |
| Full Name | MARQUITA JOHNIKEN |
| Credential | CRNP |
| Practice Address |
642 S Queen St Ste 102 Dover DE 19904-3506 |
| Mailing Address |
1000 Midway Dr Ste 3 Harrington DE 19952-2448 |
| Practice Telephone | 8008188680 |
| Practice Fax Number | 8008188680 |
| Mailing Telephone | 8008188680 |
| Mailing Fax Number | 8008188680 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP016557 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
LP-0000178 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Midway Dr Ste 3, Harrington, DE 199522448 | 8008188680 | 8008188680 |
| 1340 Middleford Rd Ste 401, Seaford, DE 199733665 | 8008188680 | 8008188680 |
| 29787 John J Williams Hwy Unit 8, Millsboro, DE 199664097 | 8008188680 | 8008188680 |
| Street Address |
642 S QUEEN ST STE 102 |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028025 | Michael S Balliro | Social Worker | 642 S Queen St Ste 102, Dover, DE 19904-3506 | 2019-05-10 |
| 1194209049 | Alpha Care Medical, LLC | Counselor | 642 S Queen St Ste 102, Dover, DE 19904-3506 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174860985 | Michaela May Omatick | Nurse Practitioner | 4128 Strawbridge Ct, Dover, PA 17315-4264 | 2013-01-14 |
| 1528234309 | Linda Ann Bruce | Nurse Practitioner | 1200 N Dupont Highway, Dover, DE 19901 | 2008-05-01 |
| 1235310012 | Nichole Cecilia Jenisch | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801-3841 | 2007-11-20 |
| 1346394434 | Elisabeth Marie Mcgunnigle | Nurse Practitioner | 1 Academy Street, Dover, NH 03820-3724 | 2007-01-23 |
| 1124055389 | Gustavo Gonzales | Nurse Practitioner | 25-27 E Dickerson St Ste 101, Dover, NJ 07801-4655 | 2006-06-26 |
| 1790728970 | Kathy M Jett | Nurse Practitioner | 300 Medical Park Dr, Suite 205, Dover, OH 44622-2073 | 2006-06-14 |
| 1962441840 | Lorraine Carla Rouse | Nurse Practitioner | 1609 S State St, Dover, DE 19901-5148 | 2006-06-06 |
| 1386691483 | Kathryn Wadleigh | Nurse Practitioner | 19 Old Rollinsford Road, Building B, Dover, NH 03820-2827 | 2006-05-27 |
| 1770098402 | Kathleen Louise Joiner-martin | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2017-12-04 |
| 1457874232 | Granite State Health Pllc | Nurse Practitioner | 1 Academy Street, Dover, NH 03820-3724 | 2017-07-24 |
| Find all providers in DOVER | ||||
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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.