BRIAN L JOHNSON (NPI# 1255564522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255564522 |
| Entity Type | Individual |
| Full Name | BRIAN L JOHNSON |
| Credential | QMA |
| Practice Address |
909 E State Blvd Fort Wayne IN 46805-3404 |
| Practice Telephone | 2604812700 |
| Practice Fax Number | 2604812709 |
| Mailing Telephone | 2604812700 |
| Mailing Fax Number | 2604812709 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374700000X | Technician | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| Street Address |
909 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664419 | Richard A Horstmeyer | Family Medicine | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2005-10-24 |
| 1174132674 | Rachel Lee Taykowski | Social Worker | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-30 |
| 1831708510 | Alexandra Leroy | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1881203560 | Timothy James Prentice | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1922617620 | Elise S. Beech | Social Worker | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1457972481 | David D Hibish | Case Manager/Care Coordinator | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-04-30 |
| 1790317667 | Jill Elizabeth Surine | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-02-10 |
| 1851923627 | Emily Redman | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-02-10 |
| 1912537325 | Estrella Devia | Case Manager/Care Coordinator | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-01-24 |
| 1083252548 | Amber Ginet O'daniels | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 374700000X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. |
| Notes: Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (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. 776. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273242 | Lakesha Green | Technician | 10237 Windchime Ct, Indianapolis, IN 46235-7200 | 2016-05-18 |
| 1629380316 | Kennie Nicole Jackson Walcott | Technician | 3955 Campbell Ave, Indianapolis, IN 46226-4836 | 2010-07-09 |
| 1336343797 | Quantis Hawkins | Technician | 541 N Tremont St, Indianapolis, IN 46222-3734 | 2007-06-12 |
| 1790713048 | Trinity Home Health Services | Technician | 810 Park Pl, Mishawaka, IN 46545-3520 | 2006-06-28 |
| 1265048078 | Sarah Ellen Pritt | Technician | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-09-17 |
| 1548805880 | Cornelius Clark Jr. | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-11-11 |
| 1275022691 | Alisha Patrice Gunn | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2018-05-02 |
| 1699952598 | Arnia E Woods | Technician | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-01-23 |
| 1508075060 | Amy Stewart | Technician | 8060 Knue Rd, Indianapolis, IN 46250-1976 | 2007-05-22 |
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.