MR. ANDREW JOHNSON III (NPI# 1578986873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578986873 |
| Entity Type | Individual |
| Full Name | MR. ANDREW JOHNSON III |
| Credential | RN |
| Practice Address |
2900 Conner St Detroit MI 48215-2407 |
| Mailing Address |
24240 Mulberry Dr Southfield MI 48033-3117 |
| Practice Telephone | 3133081408 |
| Practice Fax Number | 3138245590 |
| Mailing Telephone | 3136233069 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704193600 | MI | Nursing Service Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704193600 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981938 | Andrew Ho'ola'iku Johnson | Dentist | 45-943 Kamehameha Hwy Ste 201, Kaneohe, HI 96744 | 2017-02-15 |
| 1477904134 | Andrew Johnson | Nurse Practitioner | 9532 Volga Dr, Commerce Township, MI 48382-3666 | 2016-06-23 |
| 1184072209 | Andrew David Johnson | Internal Medicine | 999 Guardian Way, Cookeville, TN 38506-0680 | 2016-05-31 |
| 1821402736 | Andrew Johnson | General Practice | White Street Bldg As-100, Mcas New River, Jacksonville, NC 28545-0000 | 2014-06-18 |
| 1528471117 | Andrew Johnson | Specialist/Technologist | 4575 Lawrenceville Hwy Nw, Lilburn, GA 30047-3617 | 2014-06-11 |
| 1982951653 | Andrew Keith Johnson | Physical Therapist | 6841 Mountain View Rd., Ooltewah, TN 37363 | 2012-08-13 |
| 1619208600 | Andrew Johnson | Emergency Medical Technician, Basic | 5452 Bancroft Ave, Apt 105, Oakland, CA 94601-5839 | 2010-01-15 |
| 1447435854 | Andrew Loren Johnson | Emergency Medical Technician, Basic | 111 W. Harrison St, Seattle, WA 98119 | 2008-01-03 |
| 1881881936 | Andrew F Johnson | Physical Therapist | 10907 I-10 East, Houston, TX 77029-1911 | 2007-10-02 |
| 1508069980 | Andrew Robert Johnson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # L-605, Portland, OR 97239-3011 | 2007-06-06 |
| Street Address |
2900 CONNER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1619576378 | Michele Lynn Tucker | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2020-10-22 |
| 1881208890 | Josh Borgelt | Student in an Organized Health Care Education/Training Program | 2900 Conner St, Detroit, MI 48215-2407 | 2020-09-07 |
| 1447803853 | Jacinta L Mason | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2019-07-24 |
| 1912563511 | Kamicha Charisse Hawkins | Peer Specialist | 2900 Conner St, Detroit, MI 48215-2407 | 2019-05-20 |
| 1699237180 | Tanya Y Frazier | Peer Specialist | 2900 Conner St, Detroit, MI 48215-2407 | 2019-04-03 |
| 1720514664 | Elizabeth Sledge | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2017-05-11 |
| 1912368754 | Pekisha Lee Hemlinger | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2016-03-07 |
| 1013300276 | Alton Reid Sr. | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2015-03-12 |
| 1235520107 | Geneva Ann Giles | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2015-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| 1831340066 | Asha Kenyatta | Case Manager/Care Coordinator | 13334 E. Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346755972 | Mark Christoper Tanario | Registered Nurse | 1221 E Grand Blvd, Detroit, MI 48211-3428 | 2017-12-05 |
| 1306012778 | Sharon Denise Pittman | Registered Nurse | 5555 Conner St Ste 1000, Detroit, MI 48213-3448 | 2008-05-05 |
| 1710526629 | Johanna Joyce Deleon | Registered Nurse | 6309 Mack Ave, Detroit, MI 48207-2302 | 2019-12-26 |
| 1295372555 | Nausheen None Habib | Registered Nurse | 2925 Russell St, Detroit, MI 48207-4825 | 2019-12-05 |
| 1497263982 | Erica Perryman | Registered Nurse | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-01-18 |
| 1730697830 | Jamie Wood | Registered Nurse | 751 E Grand Blvd, Detroit, MI 48207-2529 | 2018-01-11 |
| 1194265108 | Lauren Yvette Campbell-perry | Registered Nurse | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2017-02-24 |
| 1225403827 | Dawn M. Pierzhala | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2015-12-08 |
| 1780075705 | Patricia Mckinnin/sandridge | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-12 |
| 1497155501 | Yolanda James | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| Find all providers in DETROIT | ||||
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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.