SUSAN JOHNSON (NPI# 1609418391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609418391 |
| Entity Type | Individual |
| Full Name | SUSAN JOHNSON |
| Credential | MD |
| Practice Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543134200 |
| Practice Fax Number | 2543134549 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134549 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
F9629 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1093291569 | Susan Patricia Johnson | Behavior Technician | 2062 Brookside Ln, Aurora, IL 60502-1369 | 2018-07-17 |
| 1396233094 | Susan Johnson | Advanced Practice Midwife | 2851 New Hartford Rd Ste B, Owensboro, KY 42303-1320 | 2018-04-27 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1366986986 | Susan Jean Johnson | Licensed Practical Nurse | 900 Owen Walters Blvd, Salina, OK 74365 | 2016-12-16 |
| 1386186518 | Susan Lynn Johnson | Pharmacist | 740 S Limestone St J134, Lexington, KY 40536-0001 | 2016-11-04 |
| 1235683889 | Susan Ly Johnson | Optometrist | 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | 2016-08-12 |
| 1205212347 | Susan Johnson | Home Health Aide | 13045 Stamford Ave, Warren, MI 48089-1350 | 2015-07-30 |
| 1346625480 | Susan Johnson | Massage Therapist | 1340 Boylston St Fl 3, Fenwy Health, Boston, MA 02215-4302 | 2015-07-29 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| Street Address |
1600 PROVIDENCE DR |
| City | WACO |
| State | TX |
| Zip Code | 76707-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900531 | Matthew Rafalski | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2005-05-27 |
| 1083228621 | Jourdan Brown Whorley | Physician Assistant | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-09-01 |
| 1538778543 | Hilda Ana Deen | Nurse Practitioner | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-07-26 |
| 1427673128 | Allison Dawn Thompson | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1245855949 | Thien Phu Nguyen | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1134744824 | William Casey Dean | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1306461090 | Corey Ryan Holt | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1821613514 | Kathryn Leah Kline | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1346865037 | Michael Thomas Boone | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1295350999 | Amanda Elizabeth Weaver | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588184493 | Yukiyo Shimosawa | Specialist/Technologist | 1010 N 17th St, Waco, TX 76707 | 2017-06-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1851413520 | Albert Bryan Lewter Jr. | Dentist | 1501 N 25th St, Waco, TX 76707 | 2007-04-04 |
| 1114010733 | Remmel Henry | Dentist | 225 W. West Waco Dr., Waco, TX 76707 | 2006-10-02 |
| 1861831034 | Ryan David Laschober | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1760821946 | Brandi Escalante Street | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1972778199 | Jason Craig | Counselor | 3621 Lasker Ave, Waco, TX 76707-1111 | 2008-04-29 |
| 1649831298 | Melanie Adams | Social Worker | 3617 Maple Ave, Waco, TX 76707-1117 | 2019-06-25 |
| 1538721246 | Jessica Marie Simon | Nurse Practitioner | 3613 Trice Ave, Waco, TX 76707-1127 | 2019-07-02 |
| Find all providers in zip 76707 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1063658524 | Jean Nerva Dortilus | Psychiatry & Neurology | 3500 Hillcrest Dr Ste 7, Waco, TX 76708-3144 | 2009-01-05 |
| 1528227063 | Joshua J Warren | Psychiatry & Neurology | 6001 W Waco Dr Ste M, Waco, TX 76710-6309 | 2008-06-09 |
| 1891995411 | Christina Ann Chen | Psychiatry & Neurology | 1000 W State Highway 6 Ste 120, Waco, TX 76712-3787 | 2007-07-22 |
| 1467551531 | Babatunde Francis Fagbamiye | Psychiatry & Neurology | 4800 Memorial Dr # 94b, Waco, TX 76711-1329 | 2006-09-22 |
| 1396756516 | Claude Lynn Parker | Psychiatry & Neurology | Central Texas Veterans Affairs Hospital, 4800 Memorial Dr, Waco, TX 76711-0000 | 2006-08-11 |
| 1215947221 | Lance G Oberg | Psychiatry & Neurology | 7300 Bosque Blvd., Waco, TX 76710 | 2006-08-09 |
| 1407866403 | Stephen L. Mark | Psychiatry & Neurology | 405 Londonderry Dr Ste 202, Waco, TX 76712-7921 | 2006-08-09 |
| 1366422123 | Tony A Payson | Psychiatry & Neurology | 213a Old Hewitt Rd, Waco, TX 76712-6647 | 2006-01-18 |
| 1588658298 | Allen L Hueston | Psychiatry & Neurology | 110 S 12th St, Waco, TX 76701-1810 | 2005-09-08 |
| Find all providers in WACO | ||||
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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.