MR. ROBERT JOHNSON (NPI# 1417467010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417467010 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JOHNSON |
| Credential | NP |
| Practice Address |
104 Hardin Ln Ste A Somerset KY 42503 |
| Mailing Address |
104 Hardin Ln Ste A Somerset KY 42503-3800 |
| Practice Telephone | 6066788323 |
| Practice Fax Number | 6066780496 |
| Mailing Telephone | 6066788323 |
| Mailing Fax Number | 6064510963 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3011600 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
3011600 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
| 1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
| 1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
| 1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
| 1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
| Street Address |
104 HARDIN LN STE A |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404481 | Harold Helton Jr. | Internal Medicine | 104 Hardin Ln Ste A, Somerset, KY 42503-3800 | 2005-08-22 |
| 1700270949 | Matthew Shea | Internal Medicine | 104 Hardin Ln Ste A, Somerset, KY 42503-3800 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830159 | Alicia Allana Henry | Nurse Practitioner | 164 Mettlers Rd, Somerset, NJ 08873-7210 | 2020-08-04 |
| 1972121366 | Atiya Kai Lamptey | Nurse Practitioner | 174 Scobee Ln, Somerset, NJ 08873-1700 | 2020-07-11 |
| 1477991537 | Mildred B Cruz | Nurse Practitioner | 3 Alton Dr, Somerset, NJ 08873-6414 | 2013-06-11 |
| 1457652349 | Joy Paran Camarillo | Nurse Practitioner | 100 Franklin Square Dr Ste 201, Somerset, NJ 08873-4109 | 2010-11-08 |
| 1316136112 | Margaret Rose Ahmed | Nurse Practitioner | 33 Clyde Road, Suites 105-106, Somerset, NJ 08873-0532 | 2007-10-17 |
| 1962609909 | Dorothy Ozurumba | Nurse Practitioner | 1075 Easton Ave Ste 11-258, Somerset, NJ 08873-1648 | 2007-07-02 |
| 1528197977 | Mary A. Laves | Nurse Practitioner | 224 Osborne Ct, Somerset, NJ 08873-6020 | 2007-03-03 |
| 1689284895 | Melissa Rene' Aker | Nurse Practitioner | 402 Bogle St Ste 2, Somerset, KY 42503-2870 | 2020-08-03 |
| 1568824852 | Natacha Sylney | Nurse Practitioner | 1527 State Route 27, Somerset, NJ 08873-3979 | 2016-03-24 |
| 1558747154 | Shaun Mcdonough | Nurse Practitioner | 81 Veronica Ave, Suite 203, Somerset, NJ 08873-3491 | 2015-08-05 |
| Find all providers in SOMERSET | ||||
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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.