SHELBY LYNNE JOHNSTON (NPI# 1538760897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538760897 |
| Entity Type | Individual |
| Full Name | SHELBY LYNNE JOHNSTON |
| Other Name | SHELBY LYNNE ALDERMAN |
| Credential | NP |
| Practice Address |
101 Lexington Dr Ste A Madison MS 39110-6986 |
| Practice Telephone | 6017073771 |
| Mailing Telephone | 6017073771 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
904246 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871960856 | Shelby Johnston | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-08-26 |
| Street Address |
101 LEXINGTON DR STE A |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932471018 | Marie Helen Dietrich | Nurse Practitioner | 201 S Gammon Rd, Madison, WI 53717-1404 | 2012-02-03 |
| 1508907494 | Amy Morgan Dunlop | Nurse Practitioner | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-02-12 |
| 1851404396 | Susan Leigh Algood | Nurse Practitioner | 200 Gleaves Street, Suite A, Madison, TN 37115 | 2006-08-17 |
| 1033176342 | Jayme Lynn Frank | Nurse Practitioner | 5 Wallingford Cir, Madison, WI 53717-1033 | 2006-04-28 |
| 1386608925 | Sharon A Frierdich | Nurse Practitioner | 9 Oak Grove Dr # 9, Madison, WI 53717-2513 | 2006-04-12 |
| 1497723951 | Beth Van Den Langenberg | Nurse Practitioner | 600 Highland Avenue, Madison, WI 53792 | 2006-03-10 |
| 1720050735 | Wendy Mackey | Nurse Practitioner | 230 Boston Post Rd, Madison, CT 06443-2225 | 2006-02-03 |
| 1255338737 | Susan Margaret Heighway | Nurse Practitioner | 1500 Highland Ave, Rm 169, Madison, WI 53705-2274 | 2005-06-30 |
| 1215537659 | Erica Leonna Anderson | Nurse Practitioner | 101 Lexington Dr, Madison, MS 39110-6985 | 2020-10-26 |
| 1477167146 | Brittany J Storhoff | Nurse Practitioner | 1500 Highland Ave, Madison, WI 53705-2280 | 2020-09-01 |
| Find all providers in MADISON | ||||
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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.