NICHOLE KAY JOHNSON (NPI# 1386852051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386852051 |
| Entity Type | Individual |
| Full Name | NICHOLE KAY JOHNSON |
| Credential | MD |
| Practice Address |
4001 W 15th St Ste 100 Plano TX 75093-5841 |
| Practice Telephone | 2144637671 |
| Practice Fax Number | 2144737680 |
| Mailing Telephone | 2144637671 |
| Mailing Fax Number | 2144737680 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M6638 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | M6638 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 199018602 | 05 | |
| TX | BCBSTX | 8CZ856 | 01 |
| TX | BCBS | 8G0899 | 01 |
| TX | 199018601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437411 | Nichole Johnson | Nurse Practitioner | 2200 Childrens Way # Way7, Nashville, TN 37232-0005 | 2016-06-03 |
| 1962789578 | Nichole Marie Johnson | Doula | 1301 Spruce Ave, Longmont, CO 80501-5837 | 2011-11-10 |
| 1457515355 | Nichole Stachewicz Johnson | Dentist | 4206 E Lake Rd, Erie, PA 16511-1357 | 2008-07-10 |
| 1487826848 | Nichole Lushawn Johnson | Counselor | 351 Wagoner Dr Ste 310, Fayetteville, NC 28303-4674 | 2008-03-26 |
| 1639266414 | Nichole Rene' Johnson | Dietitian, Registered | 2 E. Main Street, Shawnee, OK 74801 | 2006-10-05 |
| 1730653395 | Nichole Johnson | Licensed Practical Nurse | 3622 Belmont Ave Ste 21, Youngstown, OH 44505-1444 | 2019-01-17 |
| 1548768401 | Nichole M Johnson | Counselor | 200 E 3rd St, Jamestown, NY 14701-5433 | 2018-01-25 |
| 1700304672 | Nichole Leshawn Johnson | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-08-31 |
| 1790137834 | Nichole Johnson | Speech-Language Pathologist | 610 Lincoln St, Centerville, SD 57014-2040 | 2016-07-12 |
| 1528430485 | Nichole Johnson | Marriage & Family Therapist | 125 Corporate Pl, Vallejo, CA 94590-6968 | 2015-10-30 |
| Street Address |
4001 W 15TH ST STE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596957 | Richard G Buch | Specialist | 4001 W 15th St, Suite 290, Plano, TX 75093-5841 | 2005-05-23 |
| 1447897806 | Wade Christian Peterson | Counselor | 4001 W 15th St, Plano, TX 75093-5841 | 2019-12-04 |
| 1003330077 | Shara Hilary Cummings | Physical Therapist | 4001 W 15th St, Plano, TX 75093-5841 | 2017-08-01 |
| 1134663479 | Susan Mussachio | Nurse Practitioner | 4001 W 15th St, Ste 245, Plano, TX 75093-5841 | 2016-12-06 |
| 1538519087 | Carla Leslie | Counselor | 4001 W 15th St, Suite 465, Plano, TX 75093-5841 | 2016-06-15 |
| 1245680883 | Angelique White Ferraris | Physician Assistant | 4001 W 15th St, Suite 445, Plano, TX 75093-5841 | 2016-06-14 |
| 1063881076 | Deanah A Jibril, Do, Pa | Obstetrics & Gynecology | 4001 W 15th St, Suite 375, Plano, TX 75093-5841 | 2015-09-21 |
| 1295110740 | Christina E Newman | Physical Therapist | 4001 W 15th St, Suite 490, Plano, TX 75093-5841 | 2015-07-27 |
| 1821471004 | Shayan Moslemi | Physical Therapist | 4001 W 15th St, Ste 490 Bldg 1, Plano, TX 75093-5841 | 2015-07-07 |
| 1740677012 | Anam Shahbaz | Physician Assistant | 4001 W 15th St, Ste. 200, Plano, TX 75093-5841 | 2015-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902399926 | Your Health Diagnostics LLC | Internal Medicine | 5228 Village Creek Dr Ste 101, Plano, TX 75093-4431 | 2018-06-13 |
| 1821543208 | Vitality Weight Loss and Wellness Institute, Pllc | Internal Medicine | 2633 Dallas Pkwy # 100, Plano, TX 75093-4703 | 2016-08-16 |
| 1609230812 | Ebony N. Raymond | Internal Medicine | 3105 W 15th St Ste E, Plano, TX 75075 | 2016-04-13 |
| 1386008167 | Love Wounds | Internal Medicine | 4416 Jenkins Dr, Plano, TX 75024-4817 | 2016-04-07 |
| 1578942546 | Omniphysicians, Pllc | Internal Medicine | 3000 Custer Rd Ste 270-507, Plano, TX 75075-4422 | 2015-05-24 |
| 1285022491 | Slalani Medico Service Pllc | Internal Medicine | 3408 Westwind Dr, Plano, TX 75093-7987 | 2014-12-23 |
| 1689062879 | Lone Medical Mht LLC | Internal Medicine | 1925 Edgewater Dr, Plano, TX 75075-8573 | 2014-12-23 |
| 1700283280 | Texas On Call Physicians PC | Internal Medicine | 3213 Twinfalls Dr, Plano, TX 75093-3331 | 2014-11-26 |
| 1487066114 | Pablo Andres Wunderlich Padilla | Internal Medicine | 4700 Alliance Blvd Ste 100, Plano, TX 75093-5323 | 2014-05-29 |
| 1629496336 | Tawfik A. Shabana | Internal Medicine | 4317 High Mesa Dr, Plano, TX 75093 | 2014-03-31 |
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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.