AMANDA DAWN JOHNSON (NPI# 1629489133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629489133 |
| Entity Type | Individual |
| Full Name | AMANDA DAWN JOHNSON |
| Credential | M.D. |
| Practice Address |
223 E Jackson Ave Jonesboro AR 72401-3119 |
| Practice Telephone | 8709720063 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E9615 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
223 E JACKSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386759660 | Mary Elizabeth Hartwig | Nurse Practitioner | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2006-08-20 |
| 1902217763 | Robert Campion | Student in an Organized Health Care Education/Training Program | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2014-05-14 |
| 1427468974 | Jeanne C Ross | Family Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2014-05-06 |
| 1316357270 | Zachary Lloyd Stevenson | Emergency Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2014-04-30 |
| 1104266352 | Priscilla Marie Talley | Student in an Organized Health Care Education/Training Program | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2013-07-02 |
| 1427492610 | Christopher M Fallon | Emergency Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2013-04-18 |
| 1306289608 | Dusty James Boyd | Student in an Organized Health Care Education/Training Program | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2013-04-17 |
| 1063855302 | Justin Michael Baggs | Emergency Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2013-04-16 |
| 1124312038 | Jason Nguyen | Family Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2011-06-08 |
| 1629369459 | Leah Fryar | Family Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2011-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1760003248 | New York Institute of Technology | Family Medicine | 333b Red Wolf Blvd, Jonesboro, AR 72405-9739 | 2020-05-06 |
| 1548814031 | H&h Wellness Clinic | Family Medicine | 7000 Tara Blvd Ste C, Jonesboro, GA 30236-1600 | 2019-08-01 |
| 1518466739 | Trinity Wellness Center, LLC. | Family Medicine | 9434 S Main St Ste 1100, Jonesboro, GA 30236-6092 | 2018-02-02 |
| 1003343864 | Men & Womens Premier Health Solutions Pa | Family Medicine | 3410 E Johnson Ave Ste T, Jonesboro, AR 72401-1876 | 2017-05-11 |
| 1891231403 | Stacy Wilbanks Md Plc | Family Medicine | 3100 Southern Hills Ln, Jonesboro, AR 72401-8048 | 2017-01-06 |
| 1992164750 | Doctors Health Group, Inc | Family Medicine | 3637b E Johnson Ave, Jonesboro, AR 72401-1808 | 2016-02-22 |
| 1245605278 | Family Physicians of Jonesboro | Family Medicine | 3104 Apache Dr, Jonesboro, AR 72401-7405 | 2015-12-02 |
| 1669856704 | Medical Rehab Group LLP | Family Medicine | 1201 Fleming, Jonesboro, AR 72401 | 2015-07-18 |
| 1487049953 | Ali Haydar | Family Medicine | 4909 E Johnson Ave, Jonesboro, AR 72401-8417 | 2015-04-01 |
| Find all providers in JONESBORO | ||||
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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.