RHONDA RAE JOHNSON


Address: 2300 N Rockton Ave, Pac Team Office - Main Clinic, Rockford, IL 61103-3619
Phone: 8159712000

RHONDA RAE JOHNSON (NPI# 1548388044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548388044
Entity Type Individual
Full Name RHONDA RAE JOHNSON
Credential CNP
Practice Address 2300 N Rockton Ave
Pac Team Office - Main Clinic
Rockford
IL 61103-3619
Practice Telephone 8159712000
Practice Fax Number 8159719599
Mailing Telephone 8159712000
Mailing Fax Number 8159719599
Enumeration Date 2007-03-26
Last Update Date 2015-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
209004226 IL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 2300 N ROCKTON AVE
PAC TEAM OFFICE - MAIN CLINIC
City ROCKFORD
State IL
Zip Code 61103-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851394696 Affiliated Surgeons of Rockford LLC Surgery 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 2005-05-24
1538768056 Patti J Wakefield Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2020-10-26
1235759192 Kathryn N Norup Physical Therapy Assistant 2300 N Rockton Ave, Rockford, IL 61103-3619 2020-04-21
1407401912 Eric Paulos Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-08-02
1013479575 Jennifer Davidson Occupational Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-04-03
1508321597 Megan Lee Haas Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-02-05
1336634179 Molly C Grosvenor Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-06-25
1750870291 Lori Ann Moroz Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-05-09
1063914760 Erika J Oltmanns Dietitian, Registered 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-03-08
1578074753 Dennis Durano Magdadaro Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2017-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1164812541 Colette Carter Nurse Practitioner 3401 N Perryville Rd, Rockford, IL 61114 2015-01-23
1588065353 Andrea Schier Nurse Practitioner 2300 N. Rockton Ave., Rockford, IL 61103-3619 2014-09-11
1609821511 Melody Cates Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-05-23

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Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

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.

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