MRS. DIA LYNAE JOHNSON


Address: 4101 Glenhunt Rd, Baltimore, MD 21229-1705
Phone: 4435588532

MRS. DIA LYNAE JOHNSON (NPI# 1386118289) 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) 1386118289
Entity Type Individual
Full Name MRS. DIA LYNAE JOHNSON
Credential CRNP
Practice Address 4101 Glenhunt Rd
Baltimore
MD 21229-1705
Practice Telephone 4435588532
Mailing Telephone 4435588532
Enumeration Date 2019-01-14
Last Update Date 2020-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
R202400 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
R202400 MD Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 4101 GLENHUNT RD
City BALTIMORE
State MD
Zip Code 21229-1705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831703677 Hands of Health Primary Care Nurse Practitioner 4101 Glenhunt Rd, Baltimore, MD 21229-1705 2020-08-31

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1184175697 Yekeen Odewale Registered Nurse 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 2016-10-19
1942608070 Charity Ashe Social Worker 4024 Colborne Rd, Baltimore, MD 21229 2014-12-05
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1578114229 Carolina Delacruz Nurse Practitioner 5601 Loch Raven Blvd Bldg Center, Baltimore, MD 21239-2945 2019-09-24
1033620398 Samson Olanrewaju Arigbamu Nurse Practitioner 4800 Seton Drive, Baltimore, Baltimore, MD 21215 2017-10-13
1548571417 Nnene Ukoha Nurse Practitioner 6521 Redgate Cir, Baltimore, MD 21228-1146 2010-06-25
1861545881 Jackie Lynn Jones Nurse Practitioner 6105 Pinehurst Rd, Baltimore, MD 21212-2547 2007-01-21
1275545980 Elizabeth Layne Shadis Nurse Practitioner 1331 S Hanover St, Baltimore, MD 21230-4220 2006-08-12
1295712859 Donna Marie Jason Nurse Practitioner 7920 Scotts Level Rd, Baltimore, MD 21208-2629 2005-12-26
1942205380 Barbara Resnick Nurse Practitioner 830 W 40th St, Baltimore, MD 21211-2116 2005-06-14
1538703301 Skylar Grace Dunklebarger Nurse Practitioner 4940 Eastern Ave, Baltimore, MD 21224-2735 2019-11-04
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Competitor

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City BALTIMORE
Zip Code 21229

Improve Information

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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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