KIMBERLY DAWN JOHNSON


Address: 404 Hearne Ave, Shreveport, LA 71103
Phone: 3187161369

KIMBERLY DAWN JOHNSON (NPI# 1295211480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295211480
Entity Type Individual
Full Name KIMBERLY DAWN JOHNSON
Practice Address 404 Hearne Ave
Shreveport
LA 71103
Mailing Address 404 Hearne Ave
Shreveport
LA 71103-2022
Practice Telephone 3187161369
Practice Fax Number 3186750120
Mailing Telephone 3187161369
Mailing Fax Number 3186750120
Enumeration Date 2018-07-11
Last Update Date 2018-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers KIMBERLY JOHNSON

NPI Name Taxonomy Address Enumeration
1023619020 Kimberly Little Johnson Physical Therapy Assistant 7913 Red Globe Ct, Severn, MD 21144-1047 2020-11-05
1770198657 Kimberly Ann Johnson Technician 171 Teal Rd, Martinsburg, WV 25405-8946 2020-09-09
1255940698 Kimberly Renee Johnson Clinical Exercise Physiologist 5645 Danvers Rd, Portsmouth, VA 23703-3730 2020-07-30
1932722014 Kimberly Lashonda Johnson Counselor 2018 James Overlook Dr, Chester, VA 23836-2851 2020-05-22
1164051850 Kimberly L Johnson Home Health 14055 46th Street North Suite 1102, Clearwater, FL 33762 2020-04-03
1255965596 Kimberly Ann Johnson Occupational Therapy Assistant 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 2020-02-25
1043788706 Kimberly Johnson Occupational Therapist 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 2018-11-10
1750866992 Kimberly Johnson Driver 3030 Marcia Louise Dr, Southaven, MS 38672-6750 2018-10-02
1801399928 Kimberly Johnson Chiropractor 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 2018-03-15
1598280984 Kimberly Sue Johnson Nurse Practitioner 1201 7th St Se Ste 120, Decatur, AL 35601-3337 2017-08-07

Office Location

Street Address 404 HEARNE AVE
City SHREVEPORT
State LA
Zip Code 71103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437546991 Rising Up Family Services, LLC Community/Behavioral Health 404 Hearne Ave, Shreveport, LA 71103-2022 2015-04-22
1275170607 Right Turn, LLC Non-emergency Medical Transport (VAN) 404 Hearne Ave, Shreveport, LA 71103-2022 2019-12-04
1922590355 Brooke Lewis Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2018-06-01
1366945669 John Danzell Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2018-03-13
1013421056 James Ford Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2017-11-29
1184134983 Delton Abrams Social Worker 404 Hearne Ave, Shreveport, LA 71103-2022 2017-10-05
1841718301 Rendy Allen Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2017-09-05
1588194583 Eric Vinceson Clark Sr. Counselor 404 Hearne Ave, Shreveport, LA 71103-2022 2017-06-13
1225572514 Demetris Pillows Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2016-12-06
1376087684 Cynthia Wilson Counselor 404 Hearne Ave, Shreveport, LA 71103-2022 2016-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360887 Halena Jones Case Manager/Care Coordinator 9409 Chaparral Ln, Shreveport, LA 71118-4337 2020-09-11
1598376196 Michaela Nicole Bradley Case Manager/Care Coordinator 10021 Stratmore Cir, Shreveport, LA 71115-3416 2020-08-17
1619585791 Kimberly Bissell Case Manager/Care Coordinator 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 2020-07-15
1902414170 Unique Lashae Lister Case Manager/Care Coordinator 2611 Corbitt St, Shreveport, LA 71108-2805 2020-07-14
1407474828 Angela Harris Case Manager/Care Coordinator 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 2020-07-13
1669096921 Ryan Barham Case Manager/Care Coordinator 824 Oneonta St, Shreveport, LA 71106-1130 2020-06-02
1922621085 Julian White Case Manager/Care Coordinator 8529 Grover Pl, Shreveport, LA 71115-2707 2020-05-24
1396368817 Shannon Marie Cannon Case Manager/Care Coordinator 1543 Summers St, Shreveport, LA 71108-3131 2020-05-19
1730701954 Brianna Mason Case Manager/Care Coordinator 1533 Marshall St, Shreveport, LA 71101-3941 2020-05-11
1295355238 Angela Rice Case Manager/Care Coordinator 2704 Frostwood Dr, Shreveport, LA 71108-5524 2020-04-20
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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