STACY LYNN JOHNSON


Address: 420 Cty Rd. 26, Beulah, ND 58523
Phone: 7018736788

STACY LYNN JOHNSON (NPI# 1467894220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467894220
Entity Type Individual
Full Name STACY LYNN JOHNSON
Credential FNP
Practice Address 420 Cty Rd. 26
Beulah
ND 58523
Mailing Address 204 Main St W
Golden Valley
ND 58541-7131
Practice Telephone 7018736788
Mailing Telephone 7018700693
Enumeration Date 2013-07-22
Last Update Date 2013-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R34077 ND Physician Assistants & Advanced Practice Nursing Providers

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1306187844 Stacy L Johnson Technician, Other 242 W Main St # 177, Hendersonville, TN 37075-3318 2013-03-07
1083967616 Stacy Ann Johnson Registered Nurse 300 Crosman Ter, Rochester, NY 14620-1822 2012-10-19
1336470863 Stacy Jeanine Johnson Counselor 9109 Foggy Meadown Road, Charlotte, NC 28269 2010-01-22
1851579387 Stacy L Johnson Licensed Practical Nurse 326 Shade Dr, Fairborn, OH 45324-4239 2008-02-06
1942492400 Stacy Johnson Counselor 719 Massachusetts St Ste 128, Lawrence, KS 66044-2345 2007-08-17
1619189883 Stacy Erin Johnson Counselor 1300 Hoppe Blvd., Suite 4, Ada, OK 74820 2007-05-03

Office Location

Street Address 420 CTY RD. 26
City BEULAH
State ND
Zip Code 58523

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477082097 Britta Julson Physician Assistant 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 2017-06-07
1245248418 Michael J Hammerschmidt Optometrist 204 West Main Street, Beulah, ND 58523 2006-08-04
1457339939 Aaron Garman Family Medicine 1312 Hwy 49 Nw, Beulah, ND 58523 2006-01-05
1275090771 S.t.o.n.e Clinic PC Physical Therapist 108 W Main St, Suite B, Beulah, ND 58523 2019-02-21
1760882856 Devan Reinhardt Occupational Therapist 108 W Main St, Ste B, Beulah, ND 58523 2014-08-26
1225350911 Cindi D Reinhardt Physical Therapist 108 W. Main St, Ste B, Beulah, ND 58523 2010-02-22
1023250610 Nicole Marie Gabriel Chiropractor 101 W Main, Beulah, ND 58523 2009-03-30
1700049830 Alison Leigh Just Dentist 200 West Main Street, Beulah, ND 58523 2008-07-09
1013127687 Kevin B Lee Dentist 200 West Main Street, Beulah, ND 58523 2007-05-23
1508074162 Eric Klindworth Physical Therapist 1312 Hwy 49 Nw, Beulah, ND 58523 2007-05-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316564115 Abbey Pelton Nurse Practitioner 1312 Highway 49 N, Beulah, ND 58523-6038 2020-06-29
1114405230 Kelsey Leigh Striefel Nurse Practitioner 1312 Highway 49 N, Beulah, ND 58523-6038 2018-07-31
1619327889 Joshua Gibbel Nurse Practitioner 1312 Highway 49 N, Beulah, ND 58523-6038 2016-06-17
1447548623 Debra Leigh Sailer Nurse Practitioner 1312 Highway 49 N, Beulah, ND 58523-6038 2011-07-21
1215901228 Laurie Huston Nurse Practitioner 1101 3rd Ave Nw, Beulah, ND 58523-6215 2006-02-15
1598743072 Sharon Olson Nurse Practitioner 1312 Hwy 49 Nw, Beulah, ND 58523 2006-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962000901 Rochelle Rieck Nurse Practitioner 4183 153rd Ave Se, Mapleton, ND 58059-9625 2020-10-12
1811500226 Dan Lee Beach Nurse Practitioner 314 3rd Ave Ne, Ashley, ND 58413-7225 2020-08-25
1477163335 Tabitha Elizabeth Clare Solc Nurse Practitioner 5770 Orchid Cir, Grand Forks, ND 58201-3232 2020-08-05
1811505241 Breann Owen Nurse Practitioner 14974 27th St Se, Amenia, ND 58004-9756 2020-07-22
1033736376 Joshua James Hadsell Nurse Practitioner 124 Independence Ave, Bismarck, ND 58503-0463 2020-07-02
1447872163 Gina Marie Kinzler Nurse Practitioner 4840 23rd Ave S, Fargo, ND 58104-9136 2020-05-15
1700405685 Brandi Peterson Nurse Practitioner 831 S Broadway Ste 113, Minot, ND 58701-4636 2020-04-10
1497384184 Rosanne Clare Lohman Nurse Practitioner 336 Main St S, Forman, ND 58032-4001 2020-04-04
1114558830 Tisha Kamrowski Nurse Practitioner 1932 7th St Nw, Minot, ND 58703-1317 2020-01-31
1669017265 Haley Faye Wahl Nurse Practitioner 761 48th St S, Fargo, ND 58103-7216 2019-11-07
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Competitor

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City BEULAH
Zip Code 58523

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Dataset Information

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.

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