JONATHAN JOHNSON (NPI# 1225301757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225301757 |
| Entity Type | Individual |
| Full Name | JONATHAN JOHNSON |
| Practice Address |
24 Airport Rd West Lebanon NH 03784-1663 |
| Mailing Address |
144 Waterston Ave Quincy MA 02170-3432 |
| Practice Telephone | 6032986617 |
| Mailing Telephone | 6178421205 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2020-03-03 |
| NPI Deactivation Date | 12/30/2019 |
| NPI Reactivation Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474933 | Jonathan Roy Johnson | Student in an Organized Health Care Education/Training Program | 804 Levee St, Hoquiam, WA 98550-2527 | 2019-06-05 |
| 1992953749 | Jonathan Ashely Collis Johnson | Surgery | 2112 F St Nw Ste 804, Washington, DC 20037-2760 | 2008-09-05 |
| 1700061728 | Jonathan Earl Johnson | Rehabilitation Practitioner | 2990 Inland Empire Blvd Ste 101, Ontario, CA 91764-4899 | 2008-01-09 |
| 1780881011 | Jonathan Michael Johnson | Psychiatry & Neurology | 1790 Madison Ave, Fl1, New York, NY 10035-4595 | 2007-06-29 |
| 1598802316 | Jonathan Edward Johnson | General Practice | 7435 University Ave Ste 104, La Mesa, CA 91941-6027 | 2007-01-31 |
| 1679537807 | Jonathan Johnson | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2006-04-14 |
| 1144207838 | Jonathan Cleophas Johnson | Dentist | 801 E Baker St, Plant City, FL 33563 | 2005-12-23 |
| 1467086868 | Jonathan Johnson | Technician/Technologist | 6757 Arapaho Rd Ste 707, Dallas, TX 75248-4073 | 2020-02-25 |
| 1528520392 | Jonathan Edward Johnson | Physician Assistant | 1407 M D Ln Ste A, Tallahassee, FL 32308-5349 | 2019-04-02 |
| 1982102083 | Jonathan Franklin Johnson Jr. | Registered Nurse | 428 Columbus Avenue, Pediatrics, New Haven, CT 06519-1233 | 2018-01-24 |
| Street Address |
24 AIRPORT RD |
| City | WEST LEBANON |
| State | NH |
| Zip Code | 03784-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243259 | Lowrie P Kenigsberg | Student in an Organized Health Care Education/Training Program | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2020-01-03 |
| 1255970786 | Sidney Stacy | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2020-01-01 |
| 1760020853 | Mei Feng | Student in an Organized Health Care Education/Training Program | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2019-12-19 |
| 1265079743 | Whitney R Cole | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2019-12-04 |
| 1487291050 | Lola Louise Amdahl | Student in an Organized Health Care Education/Training Program | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2019-12-03 |
| 1770057572 | Angelica Ema Walsh | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784 | 2019-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1851776108 | Jessica Michelle Eid | Optometrist | 10 Benning St Ste 10, West Lebanon, NH 03784 | 2015-07-29 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1629159629 | Linda M Wierwille | Marriage & Family Therapist | Child and Family Services 3 Abbott Avenue, West Lebanon Plaza, West Lebanon, NH 03784 | 2006-10-17 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1477077790 | Alexandra Culver | Pharmacist | 3 Airport Rd, West Lebanon, NH 03784 | 2017-07-28 |
| 1215204961 | Maine Professional Opticians | Hearing Instrument Specialist | 8 Glen Rd, 23 Power House Mall, West Lebanon, NH 03784 | 2011-11-23 |
| 1487734190 | Jennifer R Kravitz | Physical Therapist | 103 S Main St, Green Mountain Physical Therapy Lnc, W Lebanon, NH 03784 | 2006-10-17 |
| 1982252805 | Michelle Kathryn Grojean | Speech-Language Pathologist | 55 Sachem Cir, West Lebanon, NH 03784-1029 | 2019-09-04 |
| 1548621469 | Jason Laurita | Orthopaedic Surgery | 8 Sachem Cir, Unit 3, West Lebanon, NH 03784-1035 | 2016-03-20 |
| Find all providers in zip 03784 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685912 | Rexford R Fisher IIi | Student in an Organized Health Care Education/Training Program | 12 Estabrook Cir, West Lebanon, NH 03784-1202 | 2020-09-30 |
| 1396352688 | Anthony Joseph Machado | Student in an Organized Health Care Education/Training Program | 24 Airport Rd Ste 19, West Lebanon, NH 03784-1663 | 2020-09-30 |
| 1780211201 | Sarah Jane Dibrigida | Student in an Organized Health Care Education/Training Program | 6 Westboro Woods Ln, West Lebanon, NH 03784-2600 | 2020-03-25 |
| 1215497367 | Margot Leneveu | Student in an Organized Health Care Education/Training Program | 19 Crafts Ave, West Lebanon, NH 03784-1105 | 2019-03-24 |
| 1982243259 | Lowrie P Kenigsberg | Student in an Organized Health Care Education/Training Program | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2020-01-03 |
| 1760020853 | Mei Feng | Student in an Organized Health Care Education/Training Program | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2019-12-19 |
| 1487291050 | Lola Louise Amdahl | Student in an Organized Health Care Education/Training Program | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316507 | Sarah Karam | Student in an Organized Health Care Education/Training Program | 56 N Stark Hwy, Weare, NH 03281-4639 | 2020-11-03 |
| 1104432210 | Riley Anne Bennett | Student in an Organized Health Care Education/Training Program | 648 Broad Cove Rd, Hopkinton, NH 03229-2711 | 2020-09-23 |
| 1013523786 | Lauryn Berretta | Student in an Organized Health Care Education/Training Program | 114 Windsor Rd, Claremont, NH 03743-4117 | 2020-09-18 |
| 1205449337 | Kamila Zlotosch | Student in an Organized Health Care Education/Training Program | 6 Hampshire Ave, Durham, NH 03824-1926 | 2020-08-28 |
| 1386255479 | Torrie Robert Lemon | Student in an Organized Health Care Education/Training Program | 41 Mckay Dr Apt 310, Exeter, NH 03833-1590 | 2020-08-12 |
| 1194335687 | Brenton Keele | Student in an Organized Health Care Education/Training Program | 97 Bridge St Apt 6, Manchester, NH 03101-1651 | 2020-08-09 |
| 1386253326 | Casey Gilman | Student in an Organized Health Care Education/Training Program | 25 Fieldstone Dr, Hampstead, NH 03841-2300 | 2020-07-27 |
| 1316565484 | Brittney Lee Lambert | Student in an Organized Health Care Education/Training Program | 4 Terra Ln, Hudson, NH 03051-3438 | 2020-07-06 |
| 1033736814 | Samantha Duclos | Student in an Organized Health Care Education/Training Program | 163 Hitching Post Ln, Bedford, NH 03110-4928 | 2020-06-29 |
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST LEBANON |
| Zip Code | 03784 |
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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.