SHARON A JOHNSON (NPI# 1104951409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104951409 |
| Entity Type | Individual |
| Full Name | SHARON A JOHNSON |
| Credential | FNP |
| Practice Address |
519 N Halleck Demotte IN 46310 |
| Mailing Address |
Po Box 850 Demotte IN 46310-0850 |
| Practice Telephone | 2199877750 |
| Practice Fax Number | 2199875750 |
| Mailing Telephone | 2199877750 |
| Mailing Fax Number | 2199875750 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001610A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184174 | Sharon Lee Johnson | Counselor | 2500 Packard St Ste 104, Ann Arbor, MI 48104-6827 | 2020-01-31 |
| 1588129704 | Sharon Denise Johnson | Clinic/Center | 453 E Oakwood St, Tarpon Springs, FL 34689-4447 | 2019-02-01 |
| 1497257141 | Sharon Johnson | Nurse's Aide | 2880 Kiowa Blvd N, Lake Havasu City, AZ 86404-2624 | 2018-03-07 |
| 1194176495 | Sharon Johnson | Technician, Other | 24051 Morton St, Oak Park, MI 48237-2186 | 2016-06-28 |
| 1144687732 | Sharon Johnson | Skilled Nursing Facility | 42322 Circulo Cavinara, Murrieta, CA 92562-6150 | 2016-01-27 |
| 1982071312 | Sharon Johnson | Speech-Language Pathologist | 802 N 11th St, Norfolk, NE 68701-2721 | 2015-09-02 |
| 1326436502 | Sharon Johnson | Case Manager/Care Coordinator | 12706 Parker Ln, Chester, VA 23831-5130 | 2014-12-22 |
| 1437563913 | Sharon Johnson | Behavioral Analyst | 8216 Wildwood Glen Dr, Las Vegas, NV 89131-8180 | 2014-06-12 |
| 1881937555 | Sharon Palmer Johnson | Occupational Therapist | 323 Woodstream Blvd, Stafford, VA 22556-4641 | 2013-04-01 |
| 1265710461 | Sharon Beulah Johnson | Licensed Practical Nurse | 1307 W 184th St, Gardena, CA 90248-4017 | 2011-07-22 |
| Street Address |
519 N HALLECK |
| City | DEMOTTE |
| State | IN |
| Zip Code | 46310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700989233 | Eric J Leestma | Family Medicine | 519 N Halleck, Demotte, IN 46310 | 2006-09-07 |
| 1720113160 | Frances Jean Smith | Nurse Practitioner | 519 N Halleck, Demotte, IN 46310-0850 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872197 | Mackenna Lee Vandertuin | Early Intervention Provider Agency | 400 11th Circle Se, Demotte, IN 46310 | 2020-05-15 |
| 1316283609 | Jasper County Chiropractic, Inc. | Chiropractor | 701 South Halleck Street, Demotte, IN 46310 | 2012-12-14 |
| 1518136944 | John Joseph Perry | Pharmacist | 915 S Halleck St, Demotte, IN 46310 | 2008-02-29 |
| 1164644498 | Dodi R. Woolley Dds, Inc | Dentist | 534 N Hallock St, Demotte, IN 46310 | 2007-05-03 |
| 1215960463 | Keener Civil Township Jasper County Ttee | Ambulance | 708 15th St Se, Demotte, IN 46310 | 2006-07-09 |
| 1437187085 | Cecilia Jean Sampsel | Family Medicine | 520 Eighth Ave N.e, Demotte, IN 46310 | 2006-06-30 |
| 1689602468 | Frances Clark | Nurse Practitioner | 11920 W State Rd 10, Demotte, IN 46310 | 2006-06-29 |
| 1336359801 | Donabelle Reyes Eliscupides | Physical Therapist | 10352 N 600 E, Demotte, IN 46310 | 2007-05-23 |
| 1760691638 | Cheryle Rae Lewandowski | Physical Therapy Assistant | 10352 N 600 E, Demotte, IN 46310 | 2007-05-21 |
| 1104867068 | Arsenio Santiago Favor | Surgery | 10107 N 575 E, Demotte, IN 46310-8009 | 2006-06-09 |
| Find all providers in zip 46310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659903144 | Miranda Louise Faris | Nurse Practitioner | 11188 N 550 E, Demotte, IN 46310-8947 | 2020-02-12 |
| 1467563114 | C&j Family Health Care Clinic, LLC | Nurse Practitioner | 11920 W State Road 10, Demotte, IN 46310-9755 | 2006-08-31 |
| 1689602468 | Frances Clark | Nurse Practitioner | 11920 W State Rd 10, Demotte, IN 46310 | 2006-06-29 |
| 1710411228 | Teressa M Meseberg | Nurse Practitioner | 310 N Halleck St, Demotte, IN 46310-9419 | 2017-04-12 |
| 1891230140 | Adam Leestma | Nurse Practitioner | 519 N Halleck St, Demotte, IN 46310-9553 | 2016-12-22 |
| 1720533201 | Keri J. Smith | Nurse Practitioner | 520 8th Ave Ne, Demotte, IN 46310-9108 | 2016-08-24 |
| 1811386709 | Sarah Lukasik | Nurse Practitioner | 310 N Halleck St, Demotte, IN 46310-9419 | 2015-01-14 |
| 1619391364 | Helen Anderson | Nurse Practitioner | 520 8th Ave Ne, Demotte, IN 46310-9108 | 2014-02-14 |
| 1285992297 | Desiree Elizabeth Samples | Nurse Practitioner | 310 N Halleck St, Demotte, IN 46310-9419 | 2012-04-26 |
| 1720113160 | Frances Jean Smith | Nurse Practitioner | 519 N Halleck, Demotte, IN 46310-0850 | 2007-02-23 |
| Find all providers in DEMOTTE | ||||
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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.