MARILYN JOHNSON


Address: 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106
Phone: 3185102188

MARILYN JOHNSON (NPI# 1184162554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184162554
Entity Type Individual
Full Name MARILYN JOHNSON
Credential MS
Practice Address 9245 Wallace Lake Rd Ste A
Shreveport
LA 71106
Mailing Address 9245 Wallace Lake Rd Ste A
Shreveport
LA 71106-7331
Practice Telephone 3185102188
Mailing Telephone 3182212828
Enumeration Date 2017-02-06
Last Update Date 2018-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator LA Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
351 W 79th St, Shreveport, LA 711064819 3186888190

Other Providers MARILYN JOHNSON

NPI Name Taxonomy Address Enumeration
1700175072 Marilyn Elizabeth Johnson Physical Therapy Assistant 2525 Sw 75 Avenue, Miami, FL 33155 2011-04-07
1992031033 Marilyn Johnson Chiropractor 1911 Lake Ave, Altadena, CA 91001-3037 2009-10-25
1073557708 Marilyn Staroba Johnson Physical Therapist 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 2006-06-15
1932601044 Marilyn J. Johnson Counselor 132 Riverview Dr Ste B, Flowood, MS 39232-8924 2018-03-05
1720595838 Marilyn Michele Johnson Case Manager/Care Coordinator 911 Sycamore St, Cincinnati, OH 45202-1318 2018-01-10
1841664893 Marilyn Johnson Behavioral Analyst 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 2015-11-13
1326437773 Marilyn Johnson Clinic/Center 1642 W Avenue J, Lancaster, CA 93534-2814 2015-01-22
1972904696 Marilyn Molly Johnson Registered Nurse 1835 Franklin St, Denver, CO 80218-1126 2014-09-12
1811234701 Marilyn Little Johnson Speech-Language Pathologist 5330 Raeford Rd, Fayetteville, NC 28304-3074 2013-01-11
1346531688 Marilyn Faye Johnson Speech-Language Pathologist 10450 Brian Mooney Ave, El Paso, TX 79935-2809 2011-04-20

Office Location

Street Address 9245 WALLACE LAKE RD STE A
City SHREVEPORT
State LA
Zip Code 71106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538631684 Alice Lewis Case Manager/Care Coordinator 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 2018-12-28
1568958486 Kourteni Henderson Case Manager/Care Coordinator 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 2018-07-03
1922519677 Joe Nathan Duirden Community Health Worker 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-10-21
1831600584 Breanna Shawnta Hickman Community Health Worker 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 2017-10-21
1659882397 Yulonda Shonta Lane Community Health Worker 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-10-21
1740791482 Demarcus Williams Community Health Worker 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 2017-10-21
1568973204 Tyria Lashay Snow Community Health Worker 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-10-21
1104337856 Constance Colettle Ellis Community Health Worker 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972008332 Andrew Joseph Brouillette Dentist 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 2018-03-28
1548775885 David Wayne Spears Pharmacist 10460 Norris Ferry Road, Shreveport, LA 71106 2017-12-08
1225559263 Susan Anderson Roblow Physical Therapist 921 Unadilla Street, Shreveport, LA 71106 2017-06-29
1134656382 James Lowder Dentist 8691 Line Ave Ste 300, Shreveport, LA 71106 2017-05-18
1144753708 Laverne Brantley Counselor 328 E 69th St, Shreveport, LA 71106 2017-04-10
1437690849 Biostat Laboratories, LLC Clinical Medical Laboratory 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 2017-03-17
1841730728 Cedric Thomas Case Manager/Care Coordinator 6811 Fairfield Avenue, Shreveport, LA 71106 2017-02-27
1225576192 Nick Vergis Pharmacist 5828 Line Avenue, Shreveport, LA 71106 2017-02-10
1417499740 Pamela Lee Counselor 8802 Coyth Ln, Shreveport, LA 71106 2016-11-17
1871044586 Lester Jackson Jr. Case Manager/Care Coordinator 378 W. 79th St, Shreveport, LA 71106 2016-10-18
Find all providers in zip 71106

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360887 Halena Jones Case Manager/Care Coordinator 9409 Chaparral Ln, Shreveport, LA 71118-4337 2020-09-11
1598376196 Michaela Nicole Bradley Case Manager/Care Coordinator 10021 Stratmore Cir, Shreveport, LA 71115-3416 2020-08-17
1619585791 Kimberly Bissell Case Manager/Care Coordinator 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 2020-07-15
1902414170 Unique Lashae Lister Case Manager/Care Coordinator 2611 Corbitt St, Shreveport, LA 71108-2805 2020-07-14
1407474828 Angela Harris Case Manager/Care Coordinator 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 2020-07-13
1669096921 Ryan Barham Case Manager/Care Coordinator 824 Oneonta St, Shreveport, LA 71106-1130 2020-06-02
1922621085 Julian White Case Manager/Care Coordinator 8529 Grover Pl, Shreveport, LA 71115-2707 2020-05-24
1396368817 Shannon Marie Cannon Case Manager/Care Coordinator 1543 Summers St, Shreveport, LA 71108-3131 2020-05-19
1730701954 Brianna Mason Case Manager/Care Coordinator 1533 Marshall St, Shreveport, LA 71101-3941 2020-05-11
1295355238 Angela Rice Case Manager/Care Coordinator 2704 Frostwood Dr, Shreveport, LA 71108-5524 2020-04-20
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71106

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Dataset Information

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.

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