KIMBERLY JOHNSON (NPI# 1568017556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568017556 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOHNSON |
| Practice Address |
233 E 84th Dr Ste 205 Merrillville IN 46410-6399 |
| Mailing Address |
10100 Elida Rd Delphos OH 45833-9056 |
| Practice Telephone | 2194722062 |
| Practice Fax Number | 2195766090 |
| Mailing Telephone | 4196958010 |
| Mailing Fax Number | 4196950004 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| Street Address |
233 E 84TH DR STE 205 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033507637 | Elia Qasim | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2015-01-05 |
| 1093353013 | Latoya King | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-12-20 |
| 1821634775 | Jermaine Vaughn | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-11-25 |
| 1598310864 | Lauren N Wilson | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-08-05 |
| 1437633989 | Deanna John | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-20 |
| 1740764364 | Charlotte Ford | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| 1609350214 | Danielle E Patton | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| 1245714856 | Ebony Westbrook | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| 1063996676 | Tabatha Kegley | Social Worker | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| 1205310828 | Charmaine Boston | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1033507637 | Elia Qasim | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2015-01-05 |
| 1093353013 | Latoya King | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-12-20 |
| 1821634775 | Jermaine Vaughn | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-11-25 |
| 1598310864 | Lauren N Wilson | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-08-05 |
| 1639640352 | Bridgette Frazier | Case Manager/Care Coordinator | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2018-12-06 |
| 1295219640 | Jessica Robberts | Case Manager/Care Coordinator | 233 E 84th Dr, Merrillville, IN 46410-6394 | 2018-09-21 |
| 1437633989 | Deanna John | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-20 |
| 1740764364 | Charlotte Ford | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| 1609350214 | Danielle E Patton | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on KIMBERLY 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.