JENNIFER A JOHNSON (NPI# 1417221755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417221755 |
| Entity Type | Individual |
| Full Name | JENNIFER A JOHNSON |
| Credential | DNP, APRN, ACNS-BC |
| Practice Address |
1001 Pennsylvania Ave Fort Worth TX 76104-2228 |
| Mailing Address |
1000 W Cannon St Fort Worth TX 76104-3029 |
| Practice Telephone | 8178775858 |
| Practice Fax Number | 8173354418 |
| Mailing Telephone | 8177257900 |
| Mailing Fax Number | 8173354418 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2017-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 601283 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 359670201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166532 | Jennifer Johnson | Counselor | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2019-10-17 |
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1538716014 | Jennifer Johnson | Social Worker | 4400 Old Canton Rd, Jackson, MS 39211-5982 | 2019-08-20 |
| 1699337410 | Jennifer Johnson | Registered Nurse | F341 County Road 6, Deshler, OH 43516-9738 | 2019-07-02 |
| 1427514397 | Jennifer Denise Johnson | Registered Nurse | 573 Lake Manor Dr, Greenville, MS 38701-7417 | 2019-02-15 |
| 1649734583 | Jennifer A Johnson | Counselor | 6126 W State St Ste 102, Boise, ID 83703-2741 | 2019-01-24 |
| 1487125464 | Jennifer Ellen Johnson | Counselor | 614 Haven Ln, Clarks Summit, PA 18411-2402 | 2018-12-17 |
| 1053892638 | Jennifer Yvonne Johnson | Home Health | 121 N Heritage Oaks Dr, Texas City, TX 77591-9326 | 2018-08-22 |
| 1336625912 | Jennifer Johnson | Social Worker | 1 Court Rd, Westford, MA 01886-2627 | 2018-07-17 |
| 1003302415 | Jennifer Nicole Johnson | Respiratory Therapist, Certified | 190 Aviation Plaza, Suite D, Hot Springs, AR 71913-7191 | 2018-07-09 |
| Street Address |
1001 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767798 | Ponniah S Sankarapandian | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2005-08-16 |
| 1851839740 | Angella Clarke | Nurse Practitioner | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2017-02-10 |
| 1396175535 | Whitney Marie Kirkpatrick | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2013-11-26 |
| 1043645476 | Lisa Philip Mathew | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2013-09-04 |
| 1043453293 | Machaiah M Madhrira | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2009-04-16 |
| 1306095849 | Osama Mohamed Elmhishi | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-09-09 |
| 1912156407 | Chinnapa R Gade | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-09-09 |
| 1700061819 | Sridhar Reddy Allam | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-01-08 |
| 1992989206 | Peter Brian Ramirez | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2007-12-21 |
| 1952582157 | Imran Adam Memon | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2007-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843103 | Katie Elaine Malone | Clinical Nurse Specialist | 1325 Pennsylvania Ave Ste 500, Fort Worth, TX 76104-2130 | 2020-05-26 |
| 1891206835 | Rebecca Robles | Clinical Nurse Specialist | 2500 West Fwy Ste 200, Fort Worth, TX 76102-5851 | 2017-10-17 |
| 1548267933 | Louis E Young | Clinical Nurse Specialist | 3704 Mattison Ave, Fort Worth, TX 76107-2619 | 2005-06-30 |
| 1134616733 | Randall Matthew Mccoy | Clinical Nurse Specialist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1912561051 | Princess Rollins Holt | Clinical Nurse Specialist | 2300 Highland Village Rd Ste 300, Highland Village, TX 75077-7157 | 2019-04-24 |
| 1538646062 | William Stone | Clinical Nurse Specialist | 1400 Clarewood Dr Apt 325, San Marcos, TX 78666-8034 | 2018-07-26 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1467970145 | Kimberley Gayle Brooks | Clinical Nurse Specialist | 507 Denali Pass, Cedar Park, TX 78613 | 2017-09-01 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1689101651 | Mary Beth Mollenkopf | Clinical Nurse Specialist | 1130 Hoffman Rd, Seguin, TX 78155-0956 | 2017-05-21 |
| 1821532565 | Equilibre Clinic LLC | Clinical Nurse Specialist | 6025 Metropolitan Dr Ste 210, Beaumont, TX 77706-2409 | 2016-12-15 |
| 1285032656 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 2301 Cedar Ridge Rd, Waco, TX 76708-2347 | 2014-12-16 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on JENNIFER A 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.