MADELINE NICOLE JOHNSON (NPI# 1508424102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508424102 |
| Entity Type | Individual |
| Full Name | MADELINE NICOLE JOHNSON |
| Credential | PA |
| Practice Address |
5915 Mc Kinley Pl Excelsior MN 55331-8125 |
| Practice Telephone | 9522702272 |
| Mailing Telephone | 9522702272 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457849408 | Madeline Elaine Johnson | Specialist/Technologist | 817 Peal Ln, Dandridge, TN 37725-4707 | 2018-04-25 |
| 1972048171 | Madeline Johnson | Respiratory Therapist, Certified | 4675 Cornell Rd, Blue Ash, OH 45241-2461 | 2016-12-23 |
| 1184222937 | Madeline Johnson | Social Worker | 1801 Park Court Pl Bldg H, Santa Ana, CA 92701-5028 | 2020-10-14 |
| 1457969057 | Madeline Baker Johnson | Counselor | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2020-07-20 |
| 1578184826 | Madeline Johnson | Nurse Practitioner | 1810 Hayes St, Nashville, TN 37203-2504 | 2020-04-28 |
| 1245887603 | Madeline Elaine Johnson | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-08-21 |
| 1629557640 | Madeline Rose Johnson | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-08-09 |
| 1043709603 | Madeline Johnson | Speech-Language Pathologist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2018-05-08 |
| 1891201984 | Madeline K Johnson | Physician Assistant | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2017-12-27 |
| 1417478991 | Madeline L Johnson | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2017-07-05 |
| Street Address |
5915 MC KINLEY PL |
| City | EXCELSIOR |
| State | MN |
| Zip Code | 55331-8125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609432798 | Christina Mccullough Dds Pllc | Dentist | 2455 Shadywood Road, Orono, MN 55331 | 2019-05-14 |
| 1558854042 | Melissa Ann Morency | Massage Therapist | 23505 County Road 19, Excelsior, MN 55331 | 2018-06-11 |
| 1801388475 | Susanne B Kanter | Physical Therapist | 23490 Mn-7, Shorewood, MN 55331 | 2018-05-30 |
| 1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
| 1467893511 | Allison Scott | Pharmacist | 23800 Mn Hwy 7, Shorewood, MN 55331 | 2013-07-17 |
| 1417204751 | Minnetonka Psychology and Wellness | Marriage & Family Therapist | 19765 Highway 7, Suite 203, Shorewood, MN 55331 | 2012-08-06 |
| 1952623456 | Virginia Lee Sievers Green | Occupational Therapist | 464 2nd Street, Suite 105, Excelsior, MN 55331 | 2010-02-24 |
| 1497980163 | Harmonia Health Care | Home Health | 3121 Pillsbury Ave S, Minneapolis, MN 55331 | 2009-05-24 |
| 1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
| 1922295658 | Nueva Era Healthcare Services, Inc. | Home Health | 5667 Wood Duck Circle, Shorewood, MN 55331 | 2007-09-26 |
| Find all providers in zip 55331 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396940052 | Ridgeview Clinics | Physician Assistant | 675 Water St, Excelsior, MN 55331-3063 | 2007-06-20 |
| 1588866255 | Gina Orourke Peschel | Physician Assistant | 675 Water St, Excelsior, MN 55331-3063 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.