MRS. ANGEL MADOLID JOHNSON (NPI# 1144508466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144508466 |
| Entity Type | Individual |
| Full Name | MRS. ANGEL MADOLID JOHNSON |
| Other Name | MRS. ANGEL MADOLID JOHNSON |
| Credential | ANP-BC |
| Practice Address |
17218 N 72nd Dr Suite #100 Glendale AZ 85308-8580 |
| Mailing Address |
12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 |
| Practice Telephone | 6233348670 |
| Practice Fax Number | 6233348675 |
| Mailing Telephone | 6232271000 |
| Mailing Fax Number | 6232272000 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP4112 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124555115 | Angel Johnson | Specialist | 2400 Herodian Way Se Ste 375, Smyrna, GA 30080-8581 | 2017-05-22 |
| 1912446550 | Angel Johnson | Developmental Therapist | 4248 W West End Ave, Chicago, IL 60624-2244 | 2017-02-15 |
| 1912338047 | Angel Han Johnson | Community Health Worker | 3351 Duckhorn Dr, #1016, Sacramento, CA 95834-2625 | 2013-11-27 |
| 1194005934 | Angel Marie Johnson | Obstetrics & Gynecology | 910 Washington Street, Suite 200, New York, MA 10028-7173 | 2011-08-25 |
| 1760027015 | Angel Johnson | Social Worker | 500 Nw 165th Street Rd Ste 100, Miami, FL 33169-6306 | 2019-11-11 |
| 1861969339 | Angel Johnson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-11-01 |
| 1659870194 | Angel Lea Johnson | Pharmacist | 318 N Chancery St, Mcminnville, TN 37110-2048 | 2018-02-11 |
| 1841661584 | Angel Johnson | Social Worker | 3420 Kabel Dr, New Orleans, LA 70131-6926 | 2015-10-07 |
| 1811373632 | Angel Johnson | Nurse Practitioner | 110 Municipal Street, Burnsville, Wv, WV 26335 | 2015-08-04 |
| 1467867366 | Angel Johnson | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2014-06-30 |
| Street Address |
17218 N 72ND DR SUITE #100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306915509 | West Valley Urgent Care, L.L.C. | Clinic/Center | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8562 | 2006-11-06 |
| 1134573793 | Carol Barbanell | Nurse Practitioner | 17218 N 72nd Dr, Ste 100, Glendale, AZ 85308-8580 | 2016-04-20 |
| 1255704797 | Joy M Caplette | Nurse Practitioner | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2015-11-05 |
| 1265716187 | Jennifer Marie Ballesteros | Nurse Practitioner | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2011-10-11 |
| 1174822928 | James Mcavoy Jr. | Nurse Practitioner | 17218 N 72nd Dr, Glendale, AZ 85308-8580 | 2011-03-19 |
| 1376707471 | Kimberly Shipman | Family Medicine | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-07-17 |
| 1417115064 | Jacqueline Jordan Spiegel | Physician Assistant | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-05-30 |
| 1396903803 | Kevin Ludwig | Contractor | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-05-30 |
| 1417128208 | Brett R Beloud | Internal Medicine | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-03-19 |
| 1962688424 | Monica Fernandez | Physician Assistant | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242758 | La Medical Clinic Inc | Nurse Practitioner | 501 W Glenoaks Blvd Ste 200, Glendale, CA 91202-4045 | 2019-02-26 |
| 1720518715 | Yulissa Familia | Nurse Practitioner | 6506 Myrtle Ave Fl 1, Glendale, NY 11385-6250 | 2017-06-13 |
| 1346600681 | Jackie Huang | Nurse Practitioner | 1505 Wilson Ter Ste 205, Glendale, CA 91206-4071 | 2016-02-29 |
| 1356685473 | Margarita Ukman | Nurse Practitioner | 6829 Myrtle Ave, Glendale, NY 11385-7234 | 2012-11-15 |
| 1659539419 | Ginger Lynn Harrison | Nurse Practitioner | 7776 N 58th Ave, Glendale, AZ 85301-7875 | 2008-05-29 |
| 1093760167 | Stacey Beth Gregory | Nurse Practitioner | 5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886 | 2006-05-24 |
| 1174598775 | Kristin N Smith | Nurse Practitioner | 5303 W Hackamore Dr, Glendale, AZ 85310-4418 | 2006-02-17 |
| 1023003829 | Ann Elizabeth Tyrrell | Nurse Practitioner | 8314 N 49th Dr, Glendale, AZ 85302-6307 | 2005-09-18 |
| 1891793089 | Levon Allen Ter-bagdasarian | Nurse Practitioner | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2005-07-12 |
| 1841763240 | Shwe Phyo | Nurse Practitioner | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2019-01-08 |
| Find all providers in GLENDALE | ||||
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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.