DR. KIMBERLY E JOHNSON (NPI# 1629253802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629253802 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY E JOHNSON |
| Credential | PSYD, HSPP |
| Practice Address |
3955 Eagle Creek Pkwy Ste D Indianapolis IN 46254-4692 |
| Practice Telephone | 3172607223 |
| Practice Fax Number | 3172931241 |
| Mailing Telephone | 3172607223 |
| Mailing Fax Number | 3172931241 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2019-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042216 | IN | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 20042216 | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5502 E 16th St, Indianapolis, IN 462184937 | 3173551859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| Street Address |
3955 EAGLE CREEK PKWY STE D |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-4692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on DR. KIMBERLY 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.