KANDICE E JOHNSON (NPI# 1609288448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609288448 |
| Entity Type | Individual |
| Full Name | KANDICE E JOHNSON |
| Credential | RN, CDE |
| Practice Address |
3 East Appleby Rd. Suite 202 Fayetteville AR 72703-4424 |
| Mailing Address |
Po Box 550 Lowell AR 72745 |
| Practice Telephone | 4794041140 |
| Practice Fax Number | 4794041141 |
| Mailing Telephone | 4794637775 |
| Mailing Fax Number | 4794637187 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R014870 | AR | Nursing Service Providers |
| Street Address |
3 EAST APPLEBY RD. SUITE 202 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306801196 | Frances A Radkey | Internal Medicine | 3 East Appleby Rd., Suite 301, Fayetteville, AR 72703 | 2006-04-18 |
| 1346581014 | Karen B Newton | Dietitian, Registered | 3 East Appleby Rd., Suite 202, Fayetteville, AR 72703-4424 | 2013-03-06 |
| 1649407354 | Catherine Rachel Kilpatrick | Internal Medicine | 3 East Appleby Rd., Suite 202, Fayetteville, AR 72703-4424 | 2009-06-20 |
| 1902042229 | Christine R Clark | Dietitian, Registered | 3 East Appleby Rd., Suite 202, Fayetteville, AR 72703-4424 | 2008-12-17 |
| 1952561599 | Lauren B Hawkins | Internal Medicine | 3 East Appleby Rd., Suite 202, Fayetteville, AR 72703-4424 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760919039 | Lynn Bauer | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-05-17 |
| 1336428036 | Wanetta Harriette Harrington | Registered Nurse | 105 Roxie Ave, Fayetteville, NC 28304-2137 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063035038 | Grant Gebhardt | Registered Nurse | 3400 S Bowman Rd Apt 724, Little Rock, AR 72211-4656 | 2020-05-25 |
| 1093108953 | Peggy Barker | Registered Nurse | 801 N 9th St, Augusta, AR 72006-2133 | 2015-03-16 |
| 1295903797 | Cheri Smith | Registered Nurse | 26 County Road 838, Henderson, AR 72544-9179 | 2008-02-19 |
| 1558986489 | Denise West | Registered Nurse | 3333 S Pinnacle Hills Pkwy Ste 300b, Rogers, AR 72758-9000 | 2020-06-16 |
| 1346877933 | Peggy Ann Schultz | Registered Nurse | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-24 |
| 1932730728 | Rochelle Pace | Registered Nurse | 623 N 9th St Ste 500, Augusta, AR 72006-2129 | 2020-01-30 |
| 1396393773 | Jennifer Dewitt | Registered Nurse | 623 N 9th St, Augusta, AR 72006-2129 | 2019-08-29 |
| 1447808837 | Amanda J Magness | Registered Nurse | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2019-08-28 |
| 1326511858 | Gloriaanne Carrington | Registered Nurse | 3333 S Pinnacle Hills Pkwy Ste 300, Rogers, AR 72758-9100 | 2019-01-08 |
| 1255816062 | Morgan L Scott | Registered Nurse | 778 Scogin Dr, Monticello, AR 71655-5729 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on KANDICE E 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.