BEVERLY ELAINE JOHNSON (NPI# 1518094184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518094184 |
| Entity Type | Individual |
| Full Name | BEVERLY ELAINE JOHNSON |
| Credential | LMSW |
| Practice Address |
Us Hwy 64 Old High School Road Shiprock NM 87420 |
| Mailing Address |
Po Box 7454 Apt #180 Newcomb NM 87455-7454 |
| Practice Telephone | 5053685163 |
| Practice Fax Number | 5053685502 |
| Mailing Telephone | 5056963348 |
| Mailing Fax Number | 5056963265 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
M-06201 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 70859230 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1043578164 | Beverly Ann Johnson | Adult Companion | 5304 Yaroley Ter., Durham, NC 27707 | 2012-04-26 |
| 1336410281 | Beverly S Johnson | Physical Therapy Assistant | 2443 Watkins Grove Pt, Greensboro, NC 27406-9034 | 2012-01-24 |
| 1295973691 | Beverly Berganos Johnson | Physician Assistant | 8160 Walnut Hill Ln Ste 200, Dallas, TX 75231-4340 | 2009-01-23 |
| 1942337795 | Beverly J Johnson | Licensed Practical Nurse | 109 Center St, Caledonia, OH 43314-9493 | 2007-02-28 |
| 1053482216 | Beverly Johnson | Speech-Language Pathologist | 710 Carpenter Fletcher Rd, Durham, NC 27713-1940 | 2006-11-10 |
| 1295836492 | Beverly Jean Johnson | Psychologist | 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 | 2006-09-26 |
| 1669489639 | Beverly C Johnson | Family Medicine | 10220 Dixie Beeline Hwy, Guthrie, KY 42234 | 2006-08-02 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1265058028 | Beverly Johnson | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-17 |
| Street Address |
US HWY 64 OLD HIGH SCHOOL ROAD |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326108218 | David J Reis | Occupational Therapist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2006-12-11 |
| 1437270642 | Robyn Alyce Nelson | Occupational Therapist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-04-03 |
| 1023142965 | Heidi E. Larson | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1770617524 | Corina M. Martinez | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1285768093 | Paula M. Magnuson | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1023142858 | Elovonne J. Benally | Social Worker | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1235262502 | Cheryl Lea Oelze | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-14 |
| 1689707960 | David Charles Johnson | Social Worker | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-14 |
| 1144353434 | Susanne Wesemeyer-ortiz | Physical Therapist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545831 | Tami Carol Miller | Social Worker | Us Hwy 64 Old High School Rd, Shiprock, NM 87420-8742 | 2019-12-11 |
| 1023142858 | Elovonne J. Benally | Social Worker | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1689707960 | David Charles Johnson | Social Worker | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447894449 | Monica Villa | Social Worker | 30 Avenida Villa, Las Vegas, NM 87701-4486 | 2019-11-01 |
| 1194366393 | Kami Lea Donald | Social Worker | 4451 Wildflower Dr, Farmington, NM 87401-2846 | 2019-09-30 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1427516178 | Rachel M Roth | Social Worker | 305 Truman St Ne, Albuquerque, NM 87108-1318 | 2019-03-12 |
| 1386101905 | Yvonne Amberman | Social Worker | 3100 Jane Pl Ne Apt 106, Albuquerque, NM 87111-5140 | 2019-03-01 |
| 1568936433 | Diana M Pacheco | Social Worker | 901 Avenida De Las Campanas, Santa Fe, NM 87507-5369 | 2019-01-14 |
| 1639641368 | Elizabeth Adams | Social Worker | 125 N Collison Ave, Cimarron, NM 87714-8505 | 2018-12-19 |
| 1245709161 | John Nicholas Olson | Social Worker | 6800 Franklin Ne, Rio Rancho, NM 87144-7647 | 2018-11-20 |
| 1609355296 | Laura Salinas | Social Worker | 6400 Uptown Blvd Ne Ste 200, Albuquerque, NM 87110-4202 | 2018-08-14 |
| 1871079798 | Karrie Espinosa | Social Worker | 402 W Court Ave, Las Cruces, NM 88005-2596 | 2018-07-13 |
| 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.