MRS. WANDA JOHNSON (NPI# 1538212360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538212360 |
| Entity Type | Individual |
| Full Name | MRS. WANDA JOHNSON |
| Practice Address |
1400 N Norma St Suite 133 Ridgecrest CA 93555-2575 |
| Practice Telephone | 7604997406 |
| Practice Fax Number | 7604997479 |
| Mailing Telephone | 7604997406 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1103X |
Specialist Specialization: Research Data Abstracter/Coder |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890903 | Wanda Johnson | Counselor | 3411 Eleanor Cir, Alexandria, LA 71302-5617 | 2017-09-18 |
| 1467827766 | Wanda Johnson | Social Worker | 201 Johnson Loop A, Natchitoches, LA 71457 | 2015-12-11 |
| 1598160509 | Wanda Lee Johnson | Registered Nurse | 4866 Persimmon Bend Ln, Black Jack, MO 63033-4568 | 2014-11-03 |
| 1699010942 | Wanda Sue Johnson | Occupational Therapist | 16292 Porterfield Hwy, Abingdon, VA 24210-8474 | 2012-11-27 |
| 1942565775 | Wanda Denise Johnson | Specialist | 2040 Bruckner Blvd Apt 9e, Bronx, NY 10473-1931 | 2012-07-09 |
| 1497033765 | Wanda Leslie Johnson | Home Health Aide | 100 N Edge Dr, South Hill, VA 23970-1233 | 2011-08-03 |
| 1134305501 | Wanda Johnson | Social Worker | 91 Camden Street, Suite 206, Rockland, ME 04841 | 2008-01-16 |
| 1649819129 | Wanda Breshae Johnson | Day Training/Habilitation Specialist | 506 Manchester Expy Ste A13, Columbus, GA 31904-6483 | 2019-12-31 |
| 1740770577 | Wanda Johnson | Case Manager/Care Coordinator | 1818 W 3rd St, Dayton, OH 45417-2537 | 2018-05-17 |
| 1689086555 | Wanda Sue Johnson | Counselor | 911 N Buffalo Dr, Suite 213, Las Vegas, NV 89128-0379 | 2014-05-28 |
| Street Address |
1400 N NORMA ST SUITE 133 |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689725525 | Harmoney D Stukes | Licensed Vocational Nurse | 1400 N Norma St, Suite 133, Ridgecrest, CA 93555-2575 | 2007-01-16 |
| 1972115947 | Mariela Germann | Peer Specialist | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2020-08-20 |
| 1750926788 | Tanya Marie Fastnacht | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-11-13 |
| 1457902637 | Carolina Lopez Roura | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-09-27 |
| 1801444823 | Yovanny Miranda | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-09-03 |
| 1164088506 | Tanya Renee Winst0n | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-05-10 |
| 1801370739 | Nikki Dawn Gardepe | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2018-09-17 |
| 1326546383 | Yvette Pringle Cook | Counselor | 1400 N Norma St, Ridgecrest, CA 93555 | 2018-01-24 |
| 1366950172 | Jeffrey Paul Puckett | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2018-01-15 |
| 1851825657 | Christy Binder | Counselor | 1400 N Norma St, St # 133, Ridgecrest, CA 93555-2575 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| Taxonomy Code | 1744R1103X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Data Abstracter/Coder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467623579 | Michele Denise Guemes | Specialist | 1400 N Norma St, Suite 133, Ridgecrest, CA 93555-2575 | 2008-03-17 |
| 1861547549 | Lori Kay Blowers | Specialist | 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 | 2007-01-24 |
| 1770635013 | Stacey Elizabeth Graybill | Specialist | 1400 N Norma St, Suite 133, Ridgecrest, CA 93555-2575 | 2007-01-17 |
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| 1689002420 | Johanna Coriz | Specialist | 333 Valencia, San Francisco, CA 94103 | 2013-10-14 |
| 1669613881 | Professional Billing Service | Specialist | 8350 Wilshire Blvd, Beverly Hills, CA 90211-2327 | 2009-03-18 |
| 1619058054 | Chika A Nwobu II | Specialist | 2107 4th Ave, Los Angeles, CA 90018-1234 | 2006-10-18 |
| 1053912048 | Marielena Hyder | Specialist | 15000 7th St Ste 208c, Victorville, CA 92395-3853 | 2020-11-05 |
| 1003381542 | Harika Putluri | Specialist | 1911 Williams Dr Ste 200, Oxnard, CA 93036-0673 | 2018-10-11 |
| 1770074569 | Ashanti Imani Green | Specialist | 1111 Market St, San Francisco, CA 94103-1589 | 2018-05-29 |
| 1467954826 | Elizabeth Soriano Laureano | Specialist | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
Please comment or provide details below to improve the information on MRS. WANDA 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.