LUCY M JOHNSON (NPI# 1184642753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184642753 |
| Entity Type | Individual |
| Full Name | LUCY M JOHNSON |
| Credential | CNS |
| Practice Address |
100 4th St S Fargo ND 58103-1929 |
| Practice Telephone | 7012343100 |
| Practice Fax Number | 7012343120 |
| Mailing Telephone | 7012343100 |
| Mailing Fax Number | 7012343120 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R20985 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 300019200 | 05 | |
| ND | 70010 | 05 | |
| ND | 70011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215422266 | Lucy Marie Johnson | Dentist | Va Health Ann Arbor Dental Service, 2215 Fuller Road, Ann Arbor, MI 48105-2303 | 2018-06-22 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1073670626 | Lucy T Johnson | Counselor | 4411 W Gore Blvd Ste B8, Lawton, OK 73505-5977 | 2007-01-02 |
| 1093160632 | Lucy Johnson | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2016-05-02 |
| 1508178948 | Lucy Hamilton Johnson | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2010-07-13 |
| 1699951715 | Lucy Joan Johnson | Nurse Practitioner | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2008-01-18 |
| Street Address |
100 4TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078405 | Mark Allan Schaffer | Dentist | 100 4th St S, Suite 312, Fargo, ND 58103-1929 | 2005-10-25 |
| 1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
| 1437715166 | Diana Rose Slivensky | Psychologist | 100 4th St S, Fargo, ND 58103-1929 | 2019-05-17 |
| 1861945784 | Resolve Behavioral Health, LLC | Community/Behavioral Health | 100 4th St S, Fargo, ND 58103-1929 | 2016-07-27 |
| 1578927315 | Jason Cossette | Pharmacist | 100 4th St S, Fargo, ND 58103-1929 | 2016-04-07 |
| 1437521366 | Nicole A Kiewel | Clinical Neuropsychologist | 100 4th St S, Fargo, ND 58103-1929 | 2015-10-30 |
| 1821472143 | Angela M Lee | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2015-07-16 |
| 1104231992 | Mustafa Abdulhusein | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103 | 2014-06-30 |
| 1609205988 | Robyn Maley | Psychologist | 100 4th St S, Fargo, ND 58103-1929 | 2013-11-06 |
| 1699102897 | Lindsey Marie Sloan Peterson | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2013-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487022885 | John Roll | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-02 |
| 1730413238 | Beth R Ashmore | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2009-09-30 |
| 1346262912 | Deborah B Roerig | Clinical Nurse Specialist | 1717 University Dr S, Fargo, ND 58103-4939 | 2006-07-24 |
| 1578584819 | Gail L Waagen | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-22 |
| 1265473482 | Patricia Kay Freitag | Clinical Nurse Specialist | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835472 | Mary Louise Riske | Clinical Nurse Specialist | 501 Columbia Rd., Stop 9037, Grand Forks, ND 58202-9037 | 2007-03-30 |
| 1427070002 | Nancy Joyner | Clinical Nurse Specialist | 702 Belmont Rd, Grand Forks, ND 58201-4910 | 2006-07-24 |
| 1598072035 | Kiley R Andreas | Clinical Nurse Specialist | 407 3rd St Se, Minot, ND 58701-4470 | 2010-09-03 |
| 1346417508 | Kris Elaine Stellon | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-05-15 |
| 1386811842 | Jeanine Louise Senti | Clinical Nurse Specialist | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2008-05-14 |
| 1760659833 | Cheryl Ann Stauffenecker | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-05-08 |
| 1477627867 | Deborah Townsend | Clinical Nurse Specialist | 1900-8th Ave. Se, Minot, ND 58701 | 2006-11-20 |
| 1861429870 | C. Judith Birger | Clinical Nurse Specialist | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-06-26 |
| 1598791618 | Zane N Zuleger | Clinical Nurse Specialist | 307 5th Ave Se, Suite 502, Minot, ND 58701-4784 | 2006-06-23 |
| 1518906437 | Desiree Joanne Gagner-tjellesen | Clinical Nurse Specialist | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-06-06 |
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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.