KALLIE JOHNSON (NPI# 1356728273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356728273 |
| Entity Type | Individual |
| Full Name | KALLIE JOHNSON |
| Practice Address |
63 Barrenfork Road Mt Pleasant AR 72561 |
| Mailing Address |
Po Box 45 Mt Pleasant AR 72561-0045 |
| Practice Telephone | 8706130870 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631207 | Kallie Johnson | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2020-05-22 |
| Street Address |
63 BARRENFORK ROAD |
| City | MT PLEASANT |
| State | AR |
| Zip Code | 72561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225170830 | Melanie Ann Cornelius | Speech-Language Pathologist | Hc 89 Box 433, Mt Pleasant, AR 72561-9708 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406143 | Cynthia Marie Long | Pharmacist | 2100 Summit Ridge Plz Ste 1, Mt Pleasant, PA 15666-9199 | 2020-10-27 |
| 1679171391 | Jeanne Harrell | Counselor | 860 Lowcountry Blvd Ste B, Mt Pleasant, SC 29464-3091 | 2020-10-14 |
| 1033717988 | Denice Kay Pearson-libby | Home Health | 101 S Cherry St Ste 102, Mt Pleasant, IA 52641-1964 | 2020-10-13 |
| 1922613256 | Rachel Elizabeth West | Nurse Practitioner | 2101 Mulberry Ave, Mt Pleasant, TX 75455-1105 | 2020-09-14 |
| 1356956650 | Alive & Well Counseling, LLC | Social Worker | 753 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464-3054 | 2020-09-14 |
| 1417560293 | E&l Colonial LLC | In Home Supportive Care | 1156 Bowman Rd Unit 200, Mt Pleasant, SC 29464-3858 | 2020-08-31 |
| 1922610054 | Bianca L Hernandez | Social Worker | 210 Court St Ste B, Mt Pleasant, MI 48858-2358 | 2020-08-19 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1194335596 | Rex Alan Dula Jr. | Counselor | 222 W Coleman Blvd Ste 216, Mt Pleasant, SC 29464-3588 | 2020-07-31 |
| 1265041313 | Jordan Watkins | Social Worker | 753 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3054 | 2020-07-24 |
| Find all providers in MT PLEASANT | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| 1871159335 | Irene Brodd | Student in an Organized Health Care Education/Training Program | 201 S University Ave # 4, Mt Pleasant, MI 48858-2527 | 2019-05-10 |
| 1760951321 | Elizabeth Jean Wierenga | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive Central Michigan University, Mt Pleasant, MI 48859-0001 | 2018-11-13 |
| 1215336292 | Chelsea Mills | Student in an Organized Health Care Education/Training Program | 1020 Taylor St, Mt Pleasant, MI 48858-3630 | 2014-08-15 |
| 1386254563 | Joseph Yi Zhou | Student in an Organized Health Care Education/Training Program | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-08-03 |
| 1972128940 | Laura Hays | Student in an Organized Health Care Education/Training Program | 2001 N Jefferson Ave, Mt Pleasant, TX 75455-2338 | 2020-06-15 |
| 1750900361 | Michael Albosta | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-04-14 |
| 1033742457 | Jamie Smith | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48895 | 2020-02-13 |
| 1164054904 | Jonathan Michael Cartier | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| 1609408442 | Kyle King | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 72561 |
Please comment or provide details below to improve the information on KALLIE JOHNSON.
| 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.