DANIELLE JOHNSON (NPI# 1528365467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528365467 |
| Entity Type | Individual |
| Full Name | DANIELLE JOHNSON |
| Credential | PA |
| Practice Address |
1800 Broadway St Pekin IL 61554-3822 |
| Mailing Address |
5100 Reliable Pkwy Chicago IL 60686-0051 |
| Practice Telephone | 3093463416 |
| Mailing Telephone | 3096724809 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003985 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982239695 | Danielle Arlene Johnson | Community Health Worker | 265 Roderick Dr, Saint Louis, MO 63137-4560 | 2020-03-03 |
| 1003327164 | Danielle Johnson | Pharmacist | 1236 Majestic Way, Webster, NY 14580-9538 | 2017-10-17 |
| 1861919615 | Danielle Johnson | Physical Therapist | 4360 E Brown Rd Ste 111, Mesa, AZ 85205-4084 | 2017-08-23 |
| 1316303191 | Danielle Johnson | Counselor | 1549 Tulip Ln, Gramercy, LA 70052-3605 | 2016-01-08 |
| 1891108718 | Danielle Johnson | Obstetrics & Gynecology | 2200 St. Luke's Blvd, Suite 200, Easton, PA 18045 | 2014-06-09 |
| 1457692923 | Danielle Bethany Johnson | Counselor | 235 Lark St, Albany, NY 12210-1150 | 2013-03-08 |
| 1639445307 | Danielle Maria Johnson | Occupational Therapy Assistant | 400 Convent Ave, Apt. 35, New York, NY 10031-4207 | 2012-03-28 |
| 1508191057 | Danielle Nicole Johnson | Occupational Therapist | 1141 Kinau St, Honolulu, HI 96814-1414 | 2009-10-15 |
| 1205062684 | Danielle Johnson | Developmental Therapist | 5444 S Hermitage Ave, Chicago, IL 60609-5706 | 2009-05-30 |
| 1902985732 | Danielle Johnson | Physical Therapist | 1130 W Jefferson St Ste A, Franklin, IN 46131-2760 | 2006-11-03 |
| Street Address |
1800 BROADWAY ST |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574007 | Elizabeth Adkison | Nurse Practitioner | 1800 Broadway St, Pekin, IL 61554-3822 | 2017-01-17 |
| 1265892046 | Theresa Abbadusky | Nurse Practitioner | 1800 Broadway St, Pekin, IL 61554-3822 | 2016-03-07 |
| 1811241995 | Jamie M Jelinek | Physician Assistant | 1800 Broadway St, Pekin, IL 61554-3822 | 2012-10-29 |
| 1275885394 | Bridget Lynn Welker | Nurse Practitioner | 1800 Broadway St, Pekin, IL 61554-3822 | 2012-10-12 |
| 1437301637 | Jennifer Terasa | Physician Assistant | 1800 Broadway St, Pekin, IL 61554-3822 | 2008-10-21 |
| 1063520021 | John M Quinones | Emergency Medicine | 1800 Broadway St, Pekin, IL 61554-3822 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| 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 |
|---|---|---|---|---|
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1457992158 | Zackary Steven Lloyd Ladson | Physician Assistant | 3248 Vandever Ave Ste B, Pekin, IL 61554-6277 | 2019-10-03 |
| 1528460748 | Cory M Sharp | Physician Assistant | 3400 Griffin Ave, Pekin, IL 61554-6246 | 2014-09-18 |
| 1811241995 | Jamie M Jelinek | Physician Assistant | 1800 Broadway St, Pekin, IL 61554-3822 | 2012-10-29 |
| 1386958031 | Chelsea L Brush | Physician Assistant | 2351 Broadway St, Pekin, IL 61554-3972 | 2010-08-04 |
| 1437301637 | Jennifer Terasa | Physician Assistant | 1800 Broadway St, Pekin, IL 61554-3822 | 2008-10-21 |
| 1912914193 | Hemang J Doshi | Physician Assistant | 19 Olt Ave, Pekin, IL 61554-6216 | 2006-08-01 |
| 1730132333 | Cheryl A Leneve | Physician Assistant | 600 S 13th St, Suite I, Pekin, IL 61554-4936 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| 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.