NICKLETT R JOHNSTON (NPI# 1356484596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356484596 |
| Entity Type | Individual |
| Full Name | NICKLETT R JOHNSTON |
| Credential | NP |
| Practice Address |
688 W 4th St Ste B Benson AZ 85602 |
| Mailing Address |
688 W 4th St Ste B Benson AZ 85602-6315 |
| Practice Telephone | 5207206551 |
| Practice Fax Number | 5207206552 |
| Mailing Telephone | 5207206551 |
| Mailing Fax Number | 5207206552 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
546098 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184626302 | 05 | |
| TX | 184626301 | 05 | |
| TX | 184626303 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3201 E President George Bush Hwy Ste 107, Richardson, TX 750823565 | 2146912975 | 2146912967 |
| Street Address |
688 W 4TH ST STE B |
| City | BENSON |
| State | AZ |
| Zip Code | 85602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327582 | Benson Hospital Corporation | General Acute Care Hospital | 688 W 4th St Ste B, Benson, AZ 85602 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
| 1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
| 1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
| 1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
| 1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
| 1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
| 1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
| 1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
| 1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
| Find all providers in zip 85602 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1801428487 | Primary Medical Care At The Crossroads, Pllc | Nurse Practitioner | 58 Old Roberts Rd Ste 102, Benson, NC 27504-8047 | 2020-02-11 |
| 1972796266 | Cheryl Henrietta Culen | Nurse Practitioner | 611 W Union St, Benson, AZ 85602-6718 | 2007-08-21 |
| 1083193569 | Tobias Marcell King | Nurse Practitioner | 13440 Nc 210 Hwy, Benson, NC 27504 | 2018-08-07 |
| 1841733995 | Carrie Batchelor | Nurse Practitioner | 13440 Nc 210 Hwy, Benson, NC 27504 | 2016-11-22 |
| 1396113296 | Ashley Brooke Barham | Nurse Practitioner | 3333 Nc Highway 242 N, Benson, NC 27504-7844 | 2015-09-09 |
| 1447648647 | Adriana Contreras Barcelo | Nurse Practitioner | 890 W 4th St, Benson, AZ 85602-6437 | 2014-12-23 |
| 1144599515 | Evangelina Pavelik Miller | Nurse Practitioner | 890 W 4th St, Benson, AZ 85602-6437 | 2011-12-14 |
| 1750536132 | Thomas Page High | Nurse Practitioner | 1 Medical Dr, Benson, NC 27504-1177 | 2008-11-26 |
| 1396919346 | Constance L Slay | Nurse Practitioner | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-04-19 |
| Find all providers in BENSON | ||||
Please comment or provide details below to improve the information on NICKLETT R JOHNSTON.
| 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.