MRS. EVELYN JOHNSON (NPI# 1265565311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265565311 |
| Entity Type | Individual |
| Full Name | MRS. EVELYN JOHNSON |
| Practice Address |
542 4th Ave Ste. 234 Fairbanks AK 99701-4714 |
| Mailing Address |
4016 Spruce St Apt 4 Ft Wainwright AK 99703-1112 |
| Practice Telephone | 9074564524 |
| Practice Fax Number | 9074565524 |
| Mailing Telephone | 9074564524 |
| Mailing Fax Number | 9074565524 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 272340 | AK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CM4322 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093938987 | Evelyn Ann Johnson | Contractor | 370 Susan Court, Ironton, OH 45638-1411 | 2007-04-10 |
| 1285781575 | Evelyn Delois Johnson | Pediatrics | 1600 Gloucester St, Brunswick, GA 31520-7145 | 2007-01-05 |
| 1346254869 | Evelyn M Johnson | Psychiatry & Neurology | 7593 N Mystic Canyon Dr, Tucson, AZ 85718-7805 | 2006-07-28 |
| 1780645788 | Evelyn J Johnson | Family Medicine | 408 S Main St Ste C, Baxley, GA 31513-0185 | 2006-03-29 |
| 1598363939 | Evelyn Johnson | Licensed Practical Nurse | 5209 Euclid Ave, Cleveland, OH 44103-3703 | 2020-10-16 |
| 1932750429 | Evelyn Johnson | Registered Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-09-25 |
| 1558824425 | Evelyn Johnson | Counselor | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2019-04-09 |
| 1922519164 | Evelyn Marie Johnson | Counselor | 515 N Cedar Ridge Dr, Duncanville, TX 75116-3103 | 2017-10-16 |
| 1477083384 | Evelyn Johnson | Counselor | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2017-06-13 |
| 1316168115 | Evelyn - Johnson | Physical Therapy Assistant | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2007-05-01 |
| Street Address |
542 4TH AVE STE. 234 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457426124 | Job Ready, Inc. | Technician | 542 4th Ave, Suite 234, Fairbanks, AK 99701-4714 | 2006-11-21 |
| 1437480068 | Tara Crosslan | Case Manager/Care Coordinator | 542 4th Ave, Suite 234, Fairbanks, AK 99701-4714 | 2010-01-21 |
| 1548437189 | Patricia Ann Harris | Case Manager/Care Coordinator | 542 4th Ave, Suite 234, Fairbanks, AK 99701-4714 | 2008-05-13 |
| 1003940842 | Job Ready, Inc. | Custodial Care Facility | 542 4th Ave, Suite 234, Fairbanks, AK 99701-4714 | 2007-03-15 |
| 1982738720 | Job Ready, Inc. | Case Management | 542 4th Ave, Suite 234, Fairbanks, AK 99701-4714 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922665132 | Yelena Petkova | Case Manager/Care Coordinator | 270 Fairhill Rd, Fairbanks, AK 99712-1614 | 2019-05-22 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1528624699 | Christy Ann Herman | Case Manager/Care Coordinator | 661 Fordham Dr, Fairbanks, AK 99709-6763 | 2019-05-14 |
| 1144795055 | Debbie A Clarke | Case Manager/Care Coordinator | 1173 Sunset Dr, Fairbanks, AK 99709-4745 | 2018-10-06 |
| 1679938096 | Rachel Pleasants | Case Manager/Care Coordinator | 1422 Hampstead Ave, Fairbanks, AK 99701-2729 | 2015-12-30 |
| 1790039824 | Tracy Marie Rodden-larson | Case Manager/Care Coordinator | 60 Hall St, Fairbanks, AK 99701-4828 | 2012-10-26 |
| 1700163565 | Anita M Rodriguez | Case Manager/Care Coordinator | 3407 Airport Way, Fairbanks, AK 99709-4761 | 2011-11-08 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1093030025 | Robin Jane Boggs | Case Manager/Care Coordinator | 3875 Geist Rd Ste E312, Fairbanks, AK 99709-3549 | 2010-04-01 |
| 1659601771 | Georgia Reynolds | Case Manager/Care Coordinator | 526 Gaffney Rd, Suite 100, Fairbanks, AK 99701-4914 | 2010-01-12 |
| 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.