DIANNE JOHNSON (NPI# 1245324623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245324623 |
| Entity Type | Individual |
| Full Name | DIANNE JOHNSON |
| Credential | MD |
| Practice Address |
1010 Spruce St Espanola Multispecialty Clinic Espanola NM 87532-2724 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5055632500 |
| Practice Fax Number | 5055632599 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
9679 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H5234 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538150610 | Dianne Laroche Johnson | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2005-10-29 |
| 1356901870 | Dianne Johnson | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-06-17 |
| 1699297655 | Dianne Johnson | Nurse Practitioner | 1201 Sam Perry Blvd Ste 280, Fredericksburg, VA 22401-8400 | 2017-07-12 |
| 1093183485 | Dianne Johnson | Physical Therapist | 2785 Gulf Fwy S, Suite 125, League City, TX 77573-4979 | 2015-09-02 |
| 1922384320 | Dianne Stanford Johnson | Social Worker | 601 Bombay Ln, Roswell, GA 30076-5828 | 2011-10-29 |
| 1801104773 | Dianne C Johnson | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2010-09-14 |
| 1588625362 | Dianne Flowers Johnson | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| 1306811419 | Dianne E Johnson | Nurse Practitioner | 39 Edgerton Dr, North Falmouth, MA 02556-2821 | 2006-02-22 |
| Street Address |
1010 SPRUCE ST ESPANOLA MULTISPECIALTY CLINIC |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552172 | Peter Holtz | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-3456 | 2005-07-15 |
| 1861004715 | Folsom Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-2746 | 2020-08-21 |
| 1417514712 | Kathy Lynn Wirz | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-05-22 |
| 1790259455 | Elizabeth Nunez | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-01-16 |
| 1477062370 | Vanessa Monique Lucero | Pharmacist | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-09-22 |
| 1972023810 | Amelia Brooks Kreienkamp | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-21 |
| 1568992220 | Gary Kanner | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-15 |
| 1033640263 | Kimberly Allen | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1336670405 | Julian R. Benavidez | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1912303900 | Leora Ellen Shein | Registered Nurse | 1010 Spruce St, Presbyterian Espanola Hospital, Espanola, NM 87532-2724 | 2014-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337893 | Gaylord V Swan | Obstetrics & Gynecology | Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, NM 87532 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911698 | Deborah Q Spurlock | Obstetrics & Gynecology | Pmg High Resort 4100, 4100 High Resort Blvd, Rio Rancho, NM 87124 | 2007-03-20 |
| 1720155500 | Kimberly Cox | Obstetrics & Gynecology | 2400 Unser Se, Suite 18200, Pmg Obgyn, Rio Rancho, NM 87124-4740 | 2006-11-29 |
| 1730253477 | Kelly L Caperton | Obstetrics & Gynecology | 201 Cedar Se Suite 507, Pmg Ob Hospitalist, Albuquerque, NM 87106 | 2006-11-17 |
| 1225123409 | Bruno J Caridi | Obstetrics & Gynecology | Pmg Cedar Obgyn, 201 Cedar Se, Albuquerque, NM 87106 | 2006-10-04 |
| 1356436539 | Cesar J. Hernandez | Obstetrics & Gynecology | 1010 Lead Ave Se Ste 4, Albuquerque, NM 87106-5214 | 2006-10-04 |
| 1639264716 | Richard Sauerman | Obstetrics & Gynecology | 201 Cedar Se 5th Floor Suite 5600, Pmg Cedar Obgyn, Albuquerque, NM 87106 | 2006-10-04 |
| 1831283209 | Rhonda Cox | Obstetrics & Gynecology | Pmg Belen, 609 S Christopher Rd, Belen, NM 87002 | 2006-10-03 |
| 1093809477 | Laura E Onorato | Obstetrics & Gynecology | 454 Saint Michaels Dr, Santa Fe, NM 87505-7602 | 2006-10-03 |
| 1265448831 | James R Hutchison | Obstetrics & Gynecology | 201 Cedar St Se Fl 5, Pmg Cedar Obgyn, Albuquerque, NM 87106-4917 | 2006-08-01 |
| 1841242047 | Jose Cortes | Obstetrics & Gynecology | Pmg Ob Hospitalist, 201 Cedar Se Suite 507, Albuquerque, NM 87106 | 2006-05-16 |
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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.