DIANE L JOHNSON (NPI# 1225139900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225139900 |
| Entity Type | Individual |
| Full Name | DIANE L JOHNSON |
| Credential | CNS |
| Practice Address |
500 W Fort St Boise ID 83702-4501 |
| Practice Telephone | 2084221108 |
| Practice Fax Number | 2084221241 |
| Mailing Telephone | 2084221108 |
| Mailing Fax Number | 2084221241 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
N6877 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241101 | Diane Mae Johnson | Counselor | 1345 E Madison Ave Spc 24, El Cajon, CA 92021-8535 | 2020-06-26 |
| 1093192759 | Diane Mason Johnson | Speech-Language Pathologist | 612 Travis St Apt 11d, Kerrville, TX 78028-4767 | 2015-05-01 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1295098127 | Diane Renee Johnson | Occupational Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2012-06-15 |
| 1992015952 | Diane Johnson | Registered Nurse | 28 Red Maple Rd, Saugerties, NY 12477-9326 | 2010-10-08 |
| 1124271895 | Diane Natasha Johnson | Occupational Therapist | 2 Law St, Valley Stream, NY 11580-1018 | 2008-10-28 |
| 1952562001 | Diane Karen Johnson | Occupational Therapist | 175 Suncrest Rd, Talent, OR 97540-8686 | 2008-06-20 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1366643009 | Diane Karen Johnson | Physician Assistant | 955 Lowes Ln, Mt Vernon, TX 75457-9601 | 2007-05-30 |
| 1255546768 | Diane Elizabeth Johnson | Psychologist | 219 W Patison St, Port Hadlock, WA 98339-9710 | 2007-05-10 |
| Street Address |
500 W FORT ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411007 | Sandra Gee Jue | Pharmacist | 500 W Fort St, Bldg 44a, Boise, ID 83702-4501 | 2005-07-20 |
| 1952902389 | Christine Alice Walsh | Recreation Therapist | 500 W Fort St, Boise, ID 83702-4501 | 2020-11-03 |
| 1386243160 | Elizabeth Larsen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4598 | 2020-10-22 |
| 1013516293 | Rebecca Cotterell | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-20 |
| 1487253670 | Morgan Wussow | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-20 |
| 1548867435 | Justin Hyer | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-05 |
| 1881209336 | Daniel James Councell | Physician Assistant | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-11 |
| 1508470451 | Marcus J Day | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-08 |
| 1386258291 | Vanessa Potoski | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-08 |
| 1033723788 | Brian Lynn Lambrecht | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033210091 | Anne Flickinger | Clinical Nurse Specialist | 500 W Fort St, Boise, ID 83702-4501 | 2006-09-25 |
| 1063512127 | Sheila K Tucker | Clinical Nurse Specialist | 500 W Fort St, Boise, ID 83702-4501 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932247665 | Judy A Metelko | Clinical Nurse Specialist | 415 6th St, Lewiston, ID 83501-2431 | 2007-02-02 |
Please comment or provide details below to improve the information on DIANE L JOHNSON.
| 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.