MARISSA JOHNSON (NPI# 1588167324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588167324 |
| Entity Type | Individual |
| Full Name | MARISSA JOHNSON |
| Practice Address |
5000 W Chambers St Milwaukee WI 53210-1650 |
| Mailing Address |
200 Mullins Dr Lebanon OR 97355-3983 |
| Practice Telephone | 4144472195 |
| Mailing Telephone | 5412590235 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Mullins Dr, Lebanon, OR 973553983 | 5412590235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081345 | Marissa Noelle Johnson | Nurse Practitioner | 14820 N Rome Ave, Tampa, FL 33613-1542 | 2018-11-05 |
| 1184149825 | Marissa Ann Johnson | Chiropractor | 257 Prospect Ave Ste 16, West Orange, NJ 07052-4210 | 2017-08-03 |
| 1679921290 | Marissa Johnson | Specialist/Technologist | 7153 Us Highway 6, Linesville, PA 16424-8155 | 2016-05-25 |
| 1659992154 | Marissa Kay Johnson | Social Worker | 495 E Main St, Columbus, OH 43215-5349 | 2020-05-06 |
| 1477113678 | Marissa Johnson | Physical Therapist | 3145 W Clark Rd Ste 102, Ypsilanti, MI 48197-1120 | 2019-06-19 |
| 1447703525 | Marissa Irene Johnson | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2016-07-26 |
| 1386015626 | Marissa Johnson | Counselor | 1126 Sam Newell Rd, Suites C & D, Matthews, NC 28105-5083 | 2015-10-13 |
| 1629474028 | Marissa Johnson | Physician Assistant | 901 W Ben White Blvd, Suite 201, Austin, TX 78704-6903 | 2014-11-12 |
| 1053549337 | Marissa Johnson | Occupational Therapist | 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | 2009-06-25 |
| 1396997862 | Marissa Marie Johnson | Physician Assistant | 6620 Schaefer Rd, Dearborn, MI 48126-4502 | 2008-10-16 |
| Street Address |
5000 W CHAMBERS ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328308 | Robert Marc Stern | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2005-10-04 |
| 1639788748 | Amanda Ruekert | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-07-24 |
| 1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
| 1750900122 | Nikhil Charul Munshi | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210 | 2020-04-15 |
| 1871112300 | Matthew S Elissa | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-14 |
| 1851929277 | Deena Samir Shaath | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-31 |
| 1679101240 | Madison Mae Breiland | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-30 |
| 1255969267 | Leou Ismael Banla | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1688 | 2020-03-27 |
| 1699302042 | Daniel Wayer | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-25 |
| 1760019178 | Osvaldo Velez-martinez | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1831707991 | Teresa Marie Ilardi | Student in an Organized Health Care Education/Training Program | 500 W Bradley Rd Apt 127a, Milwaukee, WI 53217-2618 | 2020-07-15 |
| 1053938167 | Joe Dalton | Student in an Organized Health Care Education/Training Program | 1431 N 53rd St, Milwaukee, WI 53208-2227 | 2020-07-06 |
| 1326663790 | Amber Frances Wegner | Student in an Organized Health Care Education/Training Program | 3050 S 62nd St, Milwaukee, WI 53219-3039 | 2020-06-11 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1194349688 | Nikole Anne Bruno | Student in an Organized Health Care Education/Training Program | 2160 S Kinnickinnic Ave Apt 327, Milwaukee, WI 53207-1345 | 2020-06-01 |
| 1598389124 | Amanda Philbin | Student in an Organized Health Care Education/Training Program | 6834 W Cold Spring Rd, Milwaukee, WI 53220-2909 | 2020-05-29 |
| 1992328603 | Amanda Kathryn Browning | Student in an Organized Health Care Education/Training Program | 1123 E Van Beck Ave, Milwaukee, WI 53207-4525 | 2020-05-28 |
| 1548899875 | Brittany Schall | Student in an Organized Health Care Education/Training Program | 945 N 12th St # 3105, Milwaukee, WI 53233-1305 | 2020-04-07 |
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| Find all providers in MILWAUKEE | ||||
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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.