MALINDA JOHNSON (NPI# 1619442555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619442555 |
| Entity Type | Individual |
| Full Name | MALINDA JOHNSON |
| Credential | FNP |
| Practice Address |
1203 W Carpenter St Jerseyville IL 62052-1374 |
| Practice Telephone | 6189469489 |
| Mailing Telephone | 6189469489 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018336 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961290 | Malinda M Johnson | Student in an Organized Health Care Education/Training Program | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2018-02-08 |
| 1558703579 | Malinda Johnson | Case Manager/Care Coordinator | 1086 Mound St, Springfield, OH 45505-1191 | 2013-07-18 |
| 1801014329 | Malinda Johnson | Occupational Therapist | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2007-04-22 |
| 1306977814 | Malinda A Johnson | Physician Assistant | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2007-03-08 |
| 1174585806 | Malinda K Johnson | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2006-04-06 |
| Street Address |
1203 W CARPENTER ST |
| City | JERSEYVILLE |
| State | IL |
| Zip Code | 62052-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265666 | Lauren Mccarthy | Podiatrist | 400 Maple Summit Rd Suite 200, Jerseyville, IL 62052 | 2017-06-27 |
| 1851757488 | German Insurance Agency | Local Education Agency (LEA) | 850 S State Street, Jerseyville, IL 62052 | 2016-01-12 |
| 1942584230 | Thomas G Honke | Pharmacist | 705 South State, Walgreens, Jerseyville, IL 62052 | 2011-10-05 |
| 1861786493 | Pain Relief Center | Clinic/Center | 903 South State Street, Jerseyville, IL 62052 | 2011-05-31 |
| 1902058845 | Ronald Lee Schroeder | Obstetrics & Gynecology | 1211 West Carpenter, Jerseyville, IL 62052 | 2008-10-22 |
| 1760696116 | Rebecca Elaine Alexander | Massage Therapist | 1301 S State St, Jerseyville, IL 62052 | 2007-05-09 |
| 1205950540 | Charles C Alexander | Chiropractor | 1301 S State, Jerseyville, IL 62052 | 2007-03-19 |
| 1902816358 | Kirk William Schultz | Chiropractor | 519 South State Street, Jerseyville, IL 62052 | 2006-08-08 |
| 1235119652 | Batool N Vali | Obstetrics & Gynecology | 1702 W. County Road, Jerseyville, IL 62052 | 2006-01-20 |
| 1649270729 | Jersey County Health Department | Public Health or Welfare | 1307 State Highway 109, Jerseyville, IL 62052 | 2005-07-29 |
| Find all providers in zip 62052 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245613058 | Kristin Elmore | Nurse Practitioner | 270 Maple Summit Road, Jerseyville, IL 62052-2028 | 2015-06-30 |
| 1144852203 | Natalie A Williams | Nurse Practitioner | 903 S State St, Jerseyville, IL 62052-2344 | 2020-02-06 |
| 1265063192 | Stephannie Cloninger-hultz | Nurse Practitioner | 270 Maple Summit Rd, Jerseyville, IL 62052-2004 | 2020-01-29 |
| 1255981528 | Stacy Rae Marriott | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2019-09-18 |
| 1659939049 | Erinn E Hileman | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2019-05-31 |
| 1801359575 | Kristin Anne Kilpatrick | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2019-04-10 |
| 1124579099 | Mary Beck | Nurse Practitioner | 390 Maple Summit Rd, Jerseyville, IL 62052 | 2016-10-17 |
| 1508228818 | Katelyn N Sinclair | Nurse Practitioner | 270 Maple Summit Rd, Jerseyville, IL 62052-2004 | 2016-03-25 |
| 1922492271 | Julie Ann Jackson | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 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 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 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 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | JERSEYVILLE |
| Zip Code | 62052 |
Please comment or provide details below to improve the information on MALINDA 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.