EVELYN JOHNSON (NPI# 1477083384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477083384 |
| Entity Type | Individual |
| Full Name | EVELYN JOHNSON |
| Practice Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 2254789685 |
| Mailing Telephone | 2254789685 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093938987 | Evelyn Ann Johnson | Contractor | 370 Susan Court, Ironton, OH 45638-1411 | 2007-04-10 |
| 1285781575 | Evelyn Delois Johnson | Pediatrics | 1600 Gloucester St, Brunswick, GA 31520-7145 | 2007-01-05 |
| 1346254869 | Evelyn M Johnson | Psychiatry & Neurology | 7593 N Mystic Canyon Dr, Tucson, AZ 85718-7805 | 2006-07-28 |
| 1780645788 | Evelyn J Johnson | Family Medicine | 408 S Main St Ste C, Baxley, GA 31513-0185 | 2006-03-29 |
| 1598363939 | Evelyn Johnson | Licensed Practical Nurse | 5209 Euclid Ave, Cleveland, OH 44103-3703 | 2020-10-16 |
| 1932750429 | Evelyn Johnson | Registered Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-09-25 |
| 1558824425 | Evelyn Johnson | Counselor | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2019-04-09 |
| 1922519164 | Evelyn Marie Johnson | Counselor | 515 N Cedar Ridge Dr, Duncanville, TX 75116-3103 | 2017-10-16 |
| 1316168115 | Evelyn - Johnson | Physical Therapy Assistant | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2007-05-01 |
| 1265565311 | Evelyn Johnson | Case Manager/Care Coordinator | 542 4th Ave, Ste. 234, Fairbanks, AK 99701-4714 | 2007-03-14 |
| Street Address |
8326 KELWOOD AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740403005 | Association Retarded Citizens Baton Rouge | Respite Care | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2007-04-11 |
| 1629689450 | Jamilyn Patton | Case Manager/Care Coordinator | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-08-14 |
| 1770107310 | Cenea Taylor | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-29 |
| 1558984195 | Mariam Rubio | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-18 |
| 1518589837 | Michael Thomas | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-08 |
| 1518589035 | Jordan D Johnson | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-07 |
| 1548881089 | Diamond Gustave | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-06 |
| 1639790470 | Ontranekia Juni Nixon | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-04 |
| 1780213900 | Amanda Marie Mosshammer | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-04-08 |
| 1184259665 | Marah Bowie | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1770107310 | Cenea Taylor | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-29 |
| 1558984195 | Mariam Rubio | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-18 |
| 1518589837 | Michael Thomas | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-08 |
| 1518589035 | Jordan D Johnson | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-07 |
| 1548881089 | Diamond Gustave | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-06 |
| 1639790470 | Ontranekia Juni Nixon | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-04 |
| 1780213900 | Amanda Marie Mosshammer | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-04-08 |
| 1184259665 | Marah Bowie | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-05 |
| 1194350702 | Angel Norwood | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-04 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on EVELYN 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.