MRS. VONNIE JEAN JOHNSON (NPI# 1124279633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124279633 |
| Entity Type | Individual |
| Full Name | MRS. VONNIE JEAN JOHNSON |
| Credential | FNP |
| Practice Address |
615 6th St Se Stanley ND 58784-4444 |
| Mailing Address |
12041 40th St Nw Watford City ND 58854-9676 |
| Practice Telephone | 7016282505 |
| Practice Fax Number | 7016283274 |
| Mailing Telephone | 7018422055 |
| Mailing Fax Number | 7018422433 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R14983 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 6TH ST SE |
| City | STANLEY |
| State | ND |
| Zip Code | 58784-4444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043850753 | Matthew Klein | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2020-01-10 |
| 1306486014 | Sarah Marie Wilcox | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2020-01-10 |
| 1437553708 | Heidi Lynn Nielsen | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2014-10-15 |
| 1457762627 | Richard Paul Laksonen Jr. | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784 | 2014-05-09 |
| 1811339724 | Janae Marcene Maier | Physical Therapist | 615 6th St Se, Stanley, ND 58784 | 2013-07-19 |
| 1356680086 | Abbey M Ruland | Physician Assistant | 615 6th St Se, Stanley, ND 58784-4444 | 2013-01-31 |
| 1447561139 | Mountrail County Medical Center | Clinic/Center | 615 6th St Se, Stanley, ND 58784-4444 | 2010-06-28 |
| 1972734499 | Tara M Nardacci | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-31 |
| 1326278912 | Mark Kenneth Longmuir | Family Medicine | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-17 |
| 1063668796 | Barbara A Roise | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003322231 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 723 2nd Street Sw, Stanley, ND 58784 | 2017-12-26 |
| 1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
| 1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
| 1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
| 1356431894 | Donna M Wacker | Nurse Practitioner | 615 6 St Se, Mountrail County Medical Center, Stanley, ND 58784 | 2006-10-13 |
| 1053896357 | Nancy A Hermanson | Case Manager/Care Coordinator | 18 2nd Ave Se, Stanley, ND 58784 | 2018-10-02 |
| 1174777676 | Stanley Ambulance Service | Ambulance | 221 S Main St, Stanley, ND 58784 | 2008-11-11 |
| 1285804906 | Tri City Care, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1477756674 | Stacey Mae Mortensen | Chiropractor | 108 S Main St, Box 28, Stanley, ND 58784 | 2007-06-06 |
| Find all providers in zip 58784 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104285592 | Dana Laurae Roloff | Nurse Practitioner | 503 7th Ave Se, Stanley, ND 58784-1016 | 2016-02-15 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1356431894 | Donna M Wacker | Nurse Practitioner | 615 6 St Se, Mountrail County Medical Center, Stanley, ND 58784 | 2006-10-13 |
| 1043775554 | Jamie Parlett Jenkins | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2019-02-08 |
| 1578037099 | Kate Laukaitis Tingen | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2019-01-17 |
| 1477074516 | Nicole Nalley Tate | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2017-06-28 |
| 1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
| 1891102729 | Kayde Guenthner | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2014-07-11 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| 1972734499 | Tara M Nardacci | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-31 |
| Find all providers in STANLEY | ||||
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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.