MICHELLE L JOHNSON (NPI# 1316933153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316933153 |
| Entity Type | Individual |
| Full Name | MICHELLE L JOHNSON |
| Credential | MD |
| Practice Address |
6350 W 143rd St Ste 102 Savage MN 55378-2890 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9524280200 |
| Practice Fax Number | 9524280499 |
| Mailing Telephone | 9524280200 |
| Mailing Fax Number | 9524280499 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 44734 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 081652300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1659986321 | Michelle Lynn Johnson | Clinic/Center | 576 Bahia Cir Apt A, Ocala, FL 34472-2267 | 2020-09-10 |
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1649816315 | Michelle Renae Johnson | Behavioral Analyst | 901 E Washington St Apt 338, Colton, CA 92324-8143 | 2019-11-18 |
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1508361890 | Michelle Honorae-cano Johnson | Behavior Technician | 610 Bercut Dr, Sacramento, CA 95811-0115 | 2018-03-28 |
| 1003329590 | Michelle Lynne Johnson | Specialist | 1891 River St, Hyde Park, MA 02136-1418 | 2017-11-07 |
| 1992215297 | Michelle R Johnson | Speech-Language Pathologist | 923 Wisconsin Rd, New Lenox, IL 60451-2263 | 2017-10-02 |
| Street Address |
6350 W 143RD ST STE 102 |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255718573 | Thuy Duong Nguyen Tran | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2015-05-06 |
| 1497933170 | Stacy Marie Anderson | Physician Assistant | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2008-02-05 |
| 1952343691 | Allina Health System | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376663633 | Christina J Manders | Family Medicine | 5725 Loftus Lane, Savage, MN 55378-2717 | 2007-03-30 |
| 1093798555 | Kristine S Hentges | Family Medicine | 6350 143rd St., Suite 102, Savage, MN 55378 | 2005-11-29 |
| 1962404376 | James R Eelkema | Family Medicine | 4102 Egan Dr, Savage, MN 55378-2023 | 2005-08-15 |
| 1255718573 | Thuy Duong Nguyen Tran | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2015-05-06 |
| 1063831733 | Scott Edward Wavinak | Family Medicine | 5725 Loftus Lane, Savage, MN 55378-2717 | 2014-04-10 |
| 1548604754 | Kaisa Elizabeth Schmitz | Family Medicine | 6350 W 143rd St, Ste. 102, Savage, MN 55378-2891 | 2013-04-18 |
| 1952343691 | Allina Health System | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
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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.