MISS BRIDGET ANNE JOHNSON (NPI# 1245491125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245491125 |
Entity Type | Individual |
Full Name | MISS BRIDGET ANNE JOHNSON |
Other Name | BRIDGET ANNE DORAN |
Credential | PA-C |
Practice Address |
3875 Geist Rd Suite E381 Fairbanks AK 99709-3549 |
Mailing Address |
512 Windsor Dr Fairbanks AK 99709-3439 |
Practice Telephone | 9074586943 |
Mailing Telephone | 4144052957 |
Enumeration Date | 2008-06-23 |
Last Update Date | 2020-06-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205455953 | Bridget R Johnson | Student in an Organized Health Care Education/Training Program | 77 N Ogden St, Denver, CO 80218-3805 | 2020-04-13 |
1750943171 | Bridget Eileen Johnson | Nurse Practitioner | 46421 Canyon Crest Ct, Temecula, CA 92592-4219 | 2019-07-05 |
1235647090 | Bridget Danene Johnson | Licensed Practical Nurse | 1545 E 254th St, Euclid, OH 44117-1201 | 2018-01-15 |
1598124893 | Bridget Johnson | Clinical Neuropsychologist | 1 Montego Ky, Novato, CA 94949-5322 | 2016-02-15 |
1578833919 | Bridget Renee Johnson | Contractor | 20090 210th Ave, Tustin, MI 49688-8210 | 2012-01-02 |
1235236852 | Bridget Colette Johnson | Nurse Practitioner | 507 East Parrish Ave, Owensboro, KY 42303 | 2006-09-17 |
1164044160 | Bridget Johnson | Social Worker | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-12 |
1861013088 | Bridget Johnson | Speech-Language Pathologist | 24930 Avenue Stanford, Santa Clarita, CA 91355-1272 | 2020-04-28 |
1942767595 | Bridget Johnson | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2019-03-01 |
1063893469 | Bridget Johnson | Counselor | 555 N 30th St, Omaha, NE 68131-2136 | 2015-06-11 |
Street Address |
3875 GEIST RD SUITE E381 |
City | FAIRBANKS |
State | AK |
Zip Code | 99709-3549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518335553 | Aimee D Burgess | Chiropractor | 3875 Geist Rd, Ste E136, Fairbanks, AK 99709-3564 | 2015-09-08 |
1023252285 | Allison K Wing | Case Manager/Care Coordinator | 3875 Geist Rd, Pmb 174, Fairbanks, AK 99709-3549 | 2009-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
Find all providers in zip 99709 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801314596 | Sara Breann Langford | Physician Assistant | 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939 | 2017-09-01 |
1033451703 | Allison Cooper | Physician Assistant | 2310 Peger Rd Suite 105, Fairbanks, AK 99709-4848 | 2013-03-20 |
1487928784 | Michael Jon Voorhees | Physician Assistant | 1717 Cowles Street, Fairbanks, AK 99701 | 2012-03-05 |
1487926218 | Steven Lee Craddick | Physician Assistant | 1867 Airport Frontage Road, Suite B (u.s. Healthworks Alaska), Fairbanks, AK 99701-1867 | 2012-02-09 |
1720092067 | Sylvia Ann Mccormick | Physician Assistant | 1008 16th Ave Ste 100, Fairbanks, AK 99701-6078 | 2006-07-29 |
1982627667 | Lindsay Leland Roberts | Physician Assistant | 2166 Yellow Leaf Ct, Fairbanks, AK 99709-6278 | 2006-07-25 |
1427078161 | Judy Lynn Lowe | Physician Assistant | 1867 Airport Way Ste 130b, Fairbanks, AK 99701-4056 | 2006-07-19 |
1689625964 | Van E Lamore | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2006-05-12 |
1023091618 | Caryn Scott | Physician Assistant | 201 1st Ave, Suite 200, Fairbanks, AK 99701-4848 | 2005-11-28 |
1366423204 | Mathilda Huntington | Physician Assistant | 1717 West Cowles St, Fairbanks, AK 99701-5903 | 2005-11-08 |
Find all providers in FAIRBANKS |
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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.