CYNTHIA LYNETTE JOHNSON


Address: 1600 Broad Avenue, Gulfport, MS 39501
Phone: 2288631132

CYNTHIA LYNETTE JOHNSON (NPI# 1205350410) 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) 1205350410
Entity Type Individual
Full Name CYNTHIA LYNETTE JOHNSON
Credential PMHNP-BC
Practice Address 1600 Broad Avenue
Gulfport
MS 39501
Mailing Address 13474 Huntington Circle
Gulfport
MS 39503-4955
Practice Telephone 2288631132
Practice Fax Number 2288651700
Mailing Telephone 2285475875
Enumeration Date 2017-07-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 901858 MS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1600 Broad Avenue, Gulfport, MS 39501 2288631132 2288651700

Other Providers CYNTHIA JOHNSON

NPI Name Taxonomy Address Enumeration
1235762816 Cynthia Johnson Family Medicine 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 2020-02-21
1104478197 Cynthia Ann Johnson Specialist/Technologist 249 Nw Chehalis Ave, Chehalis, WA 98532-2033 2019-07-10
1275003782 Cynthia Norman Johnson Social Worker 5803 River Glen Dr, Greensboro, NC 27455-1499 2018-11-27
1831684489 Cynthia Diane Johnson Home Health Aide 809 Cedar Heights Dr Apt A, Capitol Heights, MD 20743-6400 2018-06-26
1447748330 Cynthia Teener Johnson Psychologist 3405 Penrose Pl Ste 203, Boulder, CO 80301-1820 2018-04-25
1447763594 Cynthia T. Johnson Nurse Practitioner 152 S Mckibben St, Jackson, GA 30233-2022 2017-11-12
1235596818 Cynthia Johnson Counselor 398 Poplar St, Roslindale, Roslindale, MA 02131-4648 2016-01-27
1811301252 Cynthia Irene Johnson Social Worker 7015 258th St, Wyoming, MN 55092-8305 2014-06-13
1720423940 Cynthia Johnson Nutritionist 9701 Apollo Dr Ste 301, Largo, MD 20774-4790 2013-05-01
1114276177 Cynthia Johnson Occupational Therapist 2200 East Washington St, Bloomington, IL 61701 2012-09-06

Office Location

Street Address 1600 BROAD AVENUE
City GULFPORT
State MS
Zip Code 39501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316176126 Debra Lynne Deas Social Worker 1600 Broad Avenue, Gulfport, MS 39501-3606 2009-07-14
1548765670 Gulf Coast Mental Health Center Physical Therapist 1600 Broad Avenue, Gulfport, MS 39501 2018-03-29
1467956037 Gulf Coast Mental Health Center Community/Behavioral Health 1600 Broad Avenue, Gulfport, MS 39501-3603 2018-03-20
1821591728 Gulf Coast Mental Health Center Community/Behavioral Health 1600 Broad Avenue, Gulfport, MS 39501-3603 2018-03-16
1649773540 Gulf Coast Mental Health Center Community/Behavioral Health 1600 Broad Avenue, Gulfport, MS 39501-3603 2018-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301632 Daniel Edward Bloom Physician Assistant Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 2019-11-25
1730721374 Affinity Healthcare LLC Non-emergency Medical Transport (VAN) 1822 15th St, Suite 8, Gulfport, MS 39501 2019-10-15
1093361156 Gulf Coast Companion Care, LLC Home Health 1314 Pass Road, Ste B, Gulfport, MS 39501 2019-08-14
1609420991 Greg Meekin Ent Otolaryngology 1201 31st Avenue, Gulfport, MS 39501 2019-07-25
1225681216 Murphy Chiropractic Gulfport, LLC Clinic/Center 2700 25th Ave., Gulfport, MS 39501 2019-07-19
1477022838 Patriot Healthcare of Mississippi, LLC Family Medicine 1110 Broad Street, Suite 300, Gulfport, MS 39501 2018-11-15
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1902294093 Tangular Barnes Nurse Practitioner Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 2014-12-25
1487065355 Huong Nguyen Pharmacist 2433 25th Avenue, Gulfport, MS 39501 2014-05-14
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356960777 Jennifer M Hunter Nurse Practitioner 8970 Lorraine Rd, Gulfport, MS 39503-4176 2020-04-15
1831720242 Amanda R Woodcock Nurse Practitioner 1391 Broad Ave Ste A, Gulfport, MS 39501-2419 2020-02-04
1528428182 Teresa Kay Guy Nurse Practitioner 6107 Kipps Colony Dr W, Gulfport, FL 33707-3969 2016-02-25
1255608816 828 Walk In Clinic Nurse Practitioner 12207 Hwy 49, Suite 40, Gulfport, MS 39503 2011-11-28
1326343484 Kelli Michelle Garrigues Nurse Practitioner 1110 Broad Ave Ste 700, Gulfport, MS 39501-8908 2011-01-21
1386815694 Heather Nicole Swann Nurse Practitioner 4333 15th St Ste B, Gulfport, MS 39501 2008-03-13
1013064245 Leigh P Drace Nurse Practitioner 394 Courthouse Rd Ste A, Gulfport, MS 39507-1866 2007-01-03
1801987870 Primesource Nursing Services, Inc Nurse Practitioner 4906 Kendall Ave, Gulfport, MS 39507-4409 2006-09-27
1659477693 Gary Dalton Gentry Nurse Practitioner 4500 13th Street, Wound Care, Gulfport, MS 39501 2006-09-16
1487673406 Katherine P Griffis Nurse Practitioner 38 Pass Rd Ste A, Gulfport, MS 39507-3107 2006-07-19
Find all providers in GULFPORT

Competitor

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City GULFPORT
Zip Code 39501

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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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