MRS. DEBRA LEE JOHNSON (NPI# 1386914646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386914646 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA LEE JOHNSON |
| Credential | CM |
| Practice Address |
17091 South Muskogee Avenue Cherokee Nation Tahlequah OK 74465-0948 |
| Mailing Address |
Po Box 948 Tahlequah OK 74465-0948 |
| Practice Telephone | 9184535502 |
| Practice Fax Number | 9184580499 |
| Mailing Telephone | 9184535502 |
| Mailing Fax Number | 9184580499 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 9059 | OK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870288 | Debra Ann Johnson | Nurse Practitioner | 12636 Peppertree Pl, Oklahoma City, OK 73142-2513 | 2019-09-19 |
| 1013562172 | Debra Susan Johnson | Technician | 912 Hemlock Rd, Gulfport, MS 39503-5848 | 2019-08-06 |
| 1619430329 | Debra Smanda Johnson | Speech-Language Pathologist | 1021 Southport Dr, Lafayette, IN 47909-6111 | 2019-04-09 |
| 1699134189 | Debra Johnson | Occupational Therapist | 35 Mount Pleasant Rd, Sparta, NJ 07871-3844 | 2016-02-12 |
| 1992105985 | Debra Johnson | Registered Nurse | 2035 Cheyenne Ave, Ionia, IA 50645-9490 | 2014-08-27 |
| 1114290970 | Debra Johnson | Counselor | 28228 Islet Trail, Bonita Springs, FL 34135 | 2012-02-09 |
| 1568764488 | Debra Eunette Johnson | Speech-Language Pathologist | 213 Crakston Ct, Bonaire, GA 31005-3223 | 2010-11-29 |
| 1396952677 | Debra Kay Johnson | Nurse Practitioner | 6440 South Millrock Drive #175, Salt Lake City Comphealth, Salt Lake City, UT 84121 | 2007-05-17 |
| 1952513061 | Debra Ann Johnson | Registered Nurse | 9 Village Lane, Georgetown, MA 01833 | 2007-05-03 |
| 1275757999 | Debra Jo Johnson | Counselor | 2793 Acr. 319, Frankston, TX 75763 | 2007-04-12 |
| Street Address |
17091 SOUTH MUSKOGEE AVENUE CHEROKEE NATION |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74465-0948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437396850 | Jack Brown Center | Substance Abuse Rehabilitation Facility | 17091 South Muskogee Avenue, Tahlequah, OK 74465 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780939223 | Jack Brown Treatment Center | Substance Abuse Rehabilitation Facility | 17091 S Muskogee Ave, Tahlequah, OK 74465 | 2012-07-20 |
| 1821287962 | Cornerstone Home Health Care | Home Health | 1699 West Fourth Street, Tahlequah, OK 74465 | 2007-10-15 |
| 1144414764 | Adam Carroll Cothran | Social Worker | 17675 S. Muskogee Ave., Tahlequah, OK 74465 | 2007-08-28 |
| 1194895441 | Eeg Corporation | Psychiatry & Neurology | 1400 E Downing, Tahlequah, OK 74465 | 2006-11-08 |
| 1700951050 | Harold Earl Goldman | Pediatrics | 1400 E Downing, Tahlequah, OK 74465 | 2006-11-22 |
| 1609123892 | Sonya Davidson | Counselor | 17091 S Muskogee Ave, Tahlequah, OK 74465-0000 | 2012-08-07 |
| 1508987959 | State of Oklahoma; Dba:bill Willis Community Mental Health Center | Clinic/Center | 1400 S. Hensley Dr, Tahlequah, OK 74465-0558 | 2007-04-03 |
| 1770937229 | Talking Leaves Job Corps | Psychologist | 5700 Bald Hill Road, Tahlequah, OK 74465-1066 | 2016-04-21 |
| 1689909574 | Lori Elizabeth Medina | Counselor | 17091 S. Muskogee, Tahlequah, OK 74465-4405 | 2009-10-09 |
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702638 | Lorna Lorraine Gibbs | Case Manager/Care Coordinator | 1105 Michael St, Tahlequah, OK 74464-7307 | 2020-08-31 |
| 1013548486 | Grant David Neugin | Case Manager/Care Coordinator | 22758 S 494 Rd, Tahlequah, OK 74464-1631 | 2020-02-04 |
| 1134764426 | Claressa Armer | Case Manager/Care Coordinator | 623 W Shawnee St, Tahlequah, OK 74464-3633 | 2019-11-11 |
| 1013574615 | Amber Dawn Anderson | Case Manager/Care Coordinator | 420 N Oklahoma Ave, Tahlequah, OK 74464-3122 | 2019-05-20 |
| 1821562430 | Abigail Shaw | Case Manager/Care Coordinator | 1000 N Grand Ave Apt 57, Tahlequah, OK 74464-7063 | 2019-01-16 |
| 1033682794 | Samantha Lee Galentine | Case Manager/Care Coordinator | 14180 N Mandy Rd, Tahlequah, OK 74464-0658 | 2019-01-05 |
| 1508361726 | Beverly Jean Spriggs | Case Manager/Care Coordinator | 2006 White Ave, Tahlequah, OK 74464-5717 | 2018-03-28 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1205366499 | Jamie Leann Duffield | Case Manager/Care Coordinator | 274 Redbud Ln, Tahlequah, OK 74464-4913 | 2017-06-19 |
| 1427585439 | Shannon Dee Ann Sharp | Case Manager/Care Coordinator | 21977 Stick Ross Mountain Rd, Tahlequah, OK 74464-8064 | 2017-05-22 |
| Find all providers in TAHLEQUAH | ||||
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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.