MRS. MICHELE DAWN JOHNSON (NPI# 1407039167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407039167 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE DAWN JOHNSON |
| Credential | APN |
| Practice Address |
3775 N Mulford Rd Rockford IL 61114-5632 |
| Mailing Address |
8870 Polaris Dr Machesney Park IL 61115-2258 |
| Practice Telephone | 8156366400 |
| Mailing Telephone | 8158771340 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2010-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.006878 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048007 | Michele Johnson | Massage Therapist | 148 Elmwood Ave, Roosevelt, NY 11575-1808 | 2020-03-22 |
| 1669985560 | Michele Johnson | Behavior Technician | 5902 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1528 | 2017-11-14 |
| 1205360088 | Michele Dawn Johnson | Dental Hygienist | 520 Greenwood Ave., Blue Lake, CA 95525-0903 | 2017-04-18 |
| 1275079089 | Michele Jean Johnson | Speech-Language Pathologist | 3211 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-01-18 |
| 1013349133 | Michele Teresa Johnson | Nurse's Aide | 27000 Zeman Ave., Euclid, OH 44132-0425 | 2013-07-31 |
| 1487973921 | Michele Karen Johnson | Occupational Therapist | 30 Bruce St, Duluth, MN 55803-2501 | 2010-05-24 |
| 1578896098 | Michele M Johnson | Specialist | 1477 S Knowles Ave, S 103, New Richmond, WI 54017-2529 | 2009-09-16 |
| 1649406604 | Michele Elizabeth Johnson | Counselor | 5422 First Coast Hwy, Ste 119, Amelia Island, FL 32034-5423 | 2009-06-04 |
| 1275625485 | Michele Johnson | Nurse Practitioner | 916 Rice St, Saint Paul, MN 55117-5425 | 2006-09-28 |
| 1346208287 | Michele L Johnson | Physician Assistant | 1430 Terrace Dr, Tulsa, OK 74104 | 2006-05-02 |
| Street Address |
3775 N MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689692659 | Hugo Salgado | Family Medicine | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2006-07-18 |
| 1386992196 | Katherine Wolf | Nurse Practitioner | 3775 N Mulford Rd, Rockford, IL 61114 | 2012-08-28 |
| 1629127691 | Swedishamerican Hospital | Surgery | 3775 N Mulford Rd, Rockford, IL 61114 | 2007-01-09 |
| 1073675187 | Swedishamerican Hospital | Physician Assistant | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2006-12-14 |
| 1366530602 | Pamela J Wetzel | Internal Medicine | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2006-10-11 |
| 1396833307 | Daniel F Chamberlain | Internal Medicine | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004087 | Ruth Taggart, LLC | Nurse Practitioner | 719 Paris Ave, Rockford, IL 61107-3241 | 2018-12-06 |
| 1255980025 | Jeffrey Boyd | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2019-09-05 |
| 1700338720 | Fiona Uzoamaka Okoroti | Nurse Practitioner | 3650 N Alpine Rd, Rockford, IL 61114-4899 | 2016-10-25 |
| 1639586399 | Cora Marie Reynolds | Nurse Practitioner | 301 E State St, Rockford, IL 61104-1012 | 2014-07-15 |
| 1396158812 | Melissa House | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2014-06-03 |
| 1073941605 | Angela Marie Hadie | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2013-10-16 |
| 1205261724 | Michelle Lee Cleveland | Nurse Practitioner | 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 | 2013-09-04 |
| 1992057251 | Anne M Celner | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2012-10-11 |
| 1801121405 | Christine L. Valentine | Nurse Practitioner | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2009-10-15 |
| 1053554493 | Angela Brown | Nurse Practitioner | 5911 Nebeshone Ln, Rockford, IL 61103-8926 | 2009-04-15 |
| Find all providers in ROCKFORD | ||||
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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.