KIMBERLY DALE JOHNSON


Address: 4820 East Main Street, Sjrmc Urgent Care, Farmington, NM 87402
Phone: 5056096495

KIMBERLY DALE JOHNSON (NPI# 1316960032) 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) 1316960032
Entity Type Individual
Full Name KIMBERLY DALE JOHNSON
Credential MD
Practice Address 4820 East Main Street
Sjrmc Urgent Care
Farmington
NM 87402
Mailing Address Po Box 4002
Durango
CO 81302-4002
Practice Telephone 5056096495
Practice Fax Number 5056096496
Mailing Telephone 9708840548
Enumeration Date 2006-07-25
Last Update Date 2012-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine MD2009-0511 NM Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 32573 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01325737 05
NM K5584 05

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 4820 EAST MAIN STREET
SJRMC URGENT CARE
City FARMINGTON
State NM
Zip Code 87402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285127803 Guy Mearle Youell Jr. Physical Therapy Assistant 3701 Messina Dr. #108, Farmington, NM 87402 2018-06-08
1740612498 Four Corners Sleep Supplies Durable Medical Equipment & Medical Supplies 6600 East Main St, Suite B, Farmington, NM 87402 2013-08-05
1528400199 Cloud 9 Sleep Center Clinic/Center 6600 E Main St, Suite C, Farmington, NM 87402 2013-07-24
1023395027 Founders Healthcare, LLC Durable Medical Equipment & Medical Supplies 2844 E Main St Ste 105, Farmington, NM 87402 2011-11-04
1356530927 Brimhall Chiropractic Wellness LLC Chiropractor 6610 E Main St, Farmington, NM 87402 2007-10-19
1548468184 Susan L Burns Hearing Instrument Specialist 4331 E. Main St., Suite 202, Farmington, NM 87402 2007-07-05
1205031945 Joanne Christine Rhodus Speech-Language Pathologist 6417 Red Rock Ct, Farmington, NM 87402 2007-06-20
1487867875 Harvey R. Weber Dentist 4725 Foothills Dr., Farmington, NM 87402 2007-05-08
1891834891 Rex Baker Family Medicine 4820 East Main St, Farmington, NM 87402 2007-02-06
1568531481 Portia Deanne Sykes Neuromusculoskeletal Medicine, Sports Medicine 8100 East Main Street, Farmington, NM 87402 2006-11-07
Find all providers in zip 87402

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811315369 Eduardo Sandoval Jr. Emergency Medicine 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 2014-04-02
1801024088 Jarrad Francis Maiers Emergency Medicine 801 West Maple Street, Farmington, NM 87401 2009-06-26
1215111398 Patricia Ann Mcfadden Emergency Medicine 263 Farmington Ave # Mc1127, Farmington, CT 06030-1718 2007-12-24
1770527376 John Stephen Hunt Emergency Medicine 1101 E. Liberty St., Farmington, MO 63640 2006-06-15
1891759221 Bruce E Harrison Emergency Medicine 204 Green Trail Dr, Farmington, MO 63640-9132 2006-04-13
1396719134 Janet M Wilmes Emergency Medicine 4820 E Main St, Farmington, NM 87402-8660 2006-02-16
1588636823 Kelly L Hartel Emergency Medicine 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 2006-02-02
1851824262 Joseph Anthony Kebisek Emergency Medicine 263 Farmington Ave, Farmington, CT 06032-1956 2017-04-04
1427403195 Alexander Charmoz Emergency Medicine 263 Farmington Ave, Farmington, CT 06030-0001 2016-04-29
1982058384 Ami Kurzweil Emergency Medicine 263 Farmington Ave, Farmington, CT 06030-1930 2016-04-21
Find all providers in FARMINGTON

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City FARMINGTON
Zip Code 87402

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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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