TAJUANA JOHNSON (NPI# 1588969166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588969166 |
| Entity Type | Individual |
| Full Name | TAJUANA JOHNSON |
| Credential | APN |
| Practice Address |
3401 W Roosevelt Rd Chicago IL 60624 |
| Mailing Address |
161 Washington Street, 14th Floor Eight Tower Bridge, Suite 1400 Conshohocken PA 19428 |
| Practice Telephone | 8668253227 |
| Mailing Telephone | 8668253227 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209008594 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3401 W ROOSEVELT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063427227 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2006-07-29 |
| 1477958544 | Tominique Latrice Johnson | Pharmacist | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2014-10-30 |
| 1649681073 | Anja Ensio | Nurse Practitioner | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2014-05-20 |
| 1831532647 | Ian Gyamfi Sarpong | Pharmacist | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2013-04-10 |
| 1912278268 | Anene Dike | Pharmacist | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2012-01-18 |
| 1124398359 | Adwoa Arnong | Pharmacist | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2012-01-04 |
| 1548541584 | Benjamin James Beshalske | Pharmacist | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2011-09-05 |
| 1780820985 | Patricia C. Kinahan | Nurse Practitioner | 3401 W Roosevelt Rd, Chicago, IL 60624-4339 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
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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.