DAYLE E JOHNSON (NPI# 1629067228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629067228 |
| Entity Type | Individual |
| Full Name | DAYLE E JOHNSON |
| Credential | FNP |
| Practice Address |
105 Ridgecrest Nixa MO 65714-7807 |
| Practice Telephone | 4177258250 |
| Practice Fax Number | 4177258253 |
| Mailing Telephone | 4177258250 |
| Mailing Fax Number | 4177258253 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2004000194 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 RIDGECREST |
| City | NIXA |
| State | MO |
| Zip Code | 65714-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1891307526 | Ashley Henderson | Nurse Practitioner | 936 E Powers Ct, Nixa, MO 65714-9381 | 2020-08-24 |
| 1407318181 | Regional Services | Nurse Practitioner | 514 S Nicholas Rd, Nixa, MO 65714-7442 | 2019-04-02 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1700432812 | Cassandra Catherine Hayes | Nurse Practitioner | 940 W Mount Vernon St Ste 100, Nixa, MO 65714-9613 | 2019-08-14 |
| 1336661347 | Nga Ngoc Nguyen | Nurse Practitioner | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2017-07-11 |
| 1760852347 | Rebecca Taratuta | Nurse Practitioner | 940 W Mount Vernon St, Ste 100, Nixa, MO 65714-9618 | 2015-09-25 |
| 1508272618 | Elicia Sutton | Nurse Practitioner | 940 W Mount Vernon St, Nixa, MO 65714-9618 | 2014-07-09 |
| 1548403876 | Brenda S Simpson | Nurse Practitioner | 411 N Mccroskey St, Nixa, MO 65714-9330 | 2009-04-16 |
| 1841490141 | Wilbur Earl Flood | Nurse Practitioner | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2007-07-24 |
| Find all providers in NIXA | ||||
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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.