RACHAEL O JOHNSON (NPI# 1306317383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306317383 |
| Entity Type | Individual |
| Full Name | RACHAEL O JOHNSON |
| Other Name | RACHAEL O JEGEDE |
| Credential | PMHNP-BC |
| Practice Address |
404 S. Lewis Ln Carbondale IL 62901 |
| Mailing Address |
109 California St Po Box 577 Carterville IL 62918-0577 |
| Practice Telephone | 6185199200 |
| Practice Fax Number | 6185491288 |
| Mailing Telephone | 6189858221 |
| Mailing Fax Number | 6189854635 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209018485 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900823 | Rachael Lynn Johnson | Occupational Therapist | 309 Willowbrook Rd Ste 2, Cumberland, MD 21502-2500 | 2020-07-27 |
| 1629581855 | Rachael Virginia Johnson | Physician Assistant | 1935 N Fairfield Ave Apt 310f, Chicago, IL 60647-7127 | 2017-11-09 |
| 1578608212 | Rachael Johnson | Counselor | 2649 Suisun Ave, San Jose, CA 95121-1241 | 2007-02-20 |
| 1083265672 | Rachael Johnson | Registered Nurse | 1240 25th St S, Fargo, ND 58103-2367 | 2019-09-25 |
| 1457907750 | Rachael Johnson | Behavior Technician | 903 Proton Rd, San Antonio, TX 78258-4203 | 2019-08-13 |
| 1336613942 | Rachael Johnson | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2019-01-16 |
| 1255779740 | Rachael Lynn Johnson | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198-0001 | 2013-06-06 |
| 1821349689 | Rachael Johnson | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2012-09-19 |
| 1093099350 | Rachael Michelle Johnson | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2011-10-05 |
| 1194029397 | Rachael Lottie Johnson | Nurse Practitioner | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2011-01-03 |
| Street Address |
404 S. LEWIS LN |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| 1174919351 | Southern Illinois University Carbondale Clinical Center | Psychologist | 625 Wham Drive Room 141, Carbondale, IL 62901 | 2015-04-14 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.