MS. JACKIE JOHNSON (NPI# 1407166119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407166119 |
| Entity Type | Individual |
| Full Name | MS. JACKIE JOHNSON |
| Credential | PSYCHOLOGY INTERN |
| Practice Address |
111 South St. Somerville MA 02143 |
| Practice Telephone | 6172845130 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1871130112 | Jackie Glen Johnson | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2019-12-05 |
| 1770745457 | Jackie Eugene Johnson Sr. | Counselor | 1020 Sw Taylor St Ste 650, Portland, OR 97205-2506 | 2008-06-25 |
| 1982185021 | Jackie Johnson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2018-08-27 |
| 1982114344 | Jackie Jerome Johnson Sr. | Counselor | 1715 26th St, Lubbock, TX 79411-1524 | 2017-10-11 |
| 1861940108 | Jackie Johnson | Massage Therapist | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2016-09-15 |
| 1740692318 | Jackie Johnson | Behavioral Analyst | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2014-05-29 |
| 1740516251 | Jackie Ann Johnson | Licensed Practical Nurse | 627 Smithview Dr, Maryville, TN 37803-6100 | 2009-10-19 |
| 1679707541 | Jackie H Johnson Jr. | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2009-05-07 |
| 1053320218 | Jackie Ray Johnson | Nurse Anesthetist, Certified Registered | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2006-08-05 |
| Street Address |
111 SOUTH ST. |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683759 | Daniel Dylan Sprintzen | Social Worker | 111 South St., Somerville, MA 02143 | 2006-03-15 |
| 1144502709 | Kara Elizabeth Gagnon | Social Worker | 111 South St., Somerville, MA 02143 | 2011-09-09 |
| 1043543861 | Randi E. Donnis | Student in an Organized Health Care Education/Training Program | 111 South St., Somerville, MA 02143 | 2009-09-11 |
| 1417101734 | Catherine Anne Mingrone | Counselor | 111 South St., Somerville, MA 02143 | 2008-11-13 |
| 1093987489 | Sara Lee-conroy Noone | Social Worker | 111 South St., Somerville, MA 02143 | 2008-03-26 |
| 1518140557 | Melissa A Wenzel | Marriage & Family Therapist | 111 South St., Somerville, MA 02143 | 2007-12-13 |
| 1336358381 | Amy Susanne Flick | Social Worker | 111 South St., Somerville, MA 02143 | 2007-05-22 |
| 1861614752 | Joyce Colman | Social Worker | 111 South St., Somerville, MA 02143 | 2007-05-02 |
| 1558582569 | Julie Ain | Social Worker | 111 South St., Somerville, MA 02143 | 2007-05-01 |
| 1275689580 | Carol Joy Malina | Social Worker | 111 South St., Somerville, MA 02143 | 2007-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| 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 |
|---|---|---|---|---|
| 1568075471 | Chace Nolen | Student in an Organized Health Care Education/Training Program | 125 Morrison Ave Apt 1, Somerville, MA 02144-2126 | 2020-08-29 |
| 1558981944 | Kylie Morgan Steinhilber | Student in an Organized Health Care Education/Training Program | 739 Broadway Apt 2, Somerville, MA 02144-2141 | 2020-04-26 |
| 1982224051 | Chris Raftelis | Student in an Organized Health Care Education/Training Program | 35 Fairfax St, Somerville, MA 02144-1107 | 2020-04-19 |
| 1679193874 | Sarah Burke | Student in an Organized Health Care Education/Training Program | 27 1/2 Boston St, Somerville, MA 02143-2005 | 2020-04-17 |
| 1316566094 | Melanie Choi | Student in an Organized Health Care Education/Training Program | 5 Maxwells Grn Apt 102, Somerville, MA 02144-2685 | 2020-04-13 |
| 1518586312 | Nicolas Pytel | Student in an Organized Health Care Education/Training Program | 7 Franklin St Apt 1, Somerville, MA 02145-3235 | 2020-04-11 |
| 1255986238 | Josephine Sheron Au | Student in an Organized Health Care Education/Training Program | 33 Linden Ave # 1, Somerville, MA 02143-2221 | 2019-08-06 |
| 1417436585 | Quang Pho | Student in an Organized Health Care Education/Training Program | 115 Thurston St Apt 3, Somerville, MA 02145-2847 | 2018-08-09 |
| 1114417524 | Dae Kim | Student in an Organized Health Care Education/Training Program | Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 | 2018-05-11 |
| 1720529951 | Madeline Ray | Student in an Organized Health Care Education/Training Program | 37 Cherry St, Somerville, MA 02144-3253 | 2017-03-20 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on MS. JACKIE 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.