KATHERINE S JOHNSON (NPI# 1629587613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629587613 |
| Entity Type | Individual |
| Full Name | KATHERINE S JOHNSON |
| Practice Address |
1049 Main Street Springfield MA 01103 |
| Mailing Address |
1049 Main St Springfield MA 01103-2114 |
| Practice Telephone | (413) 739-1100 |
| Practice Fax Number | 4137351133 |
| Mailing Telephone | 4137391100 |
| Mailing Fax Number | 4137351133 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN2298411 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447738232 | Katherine Johnson | Behavioral Analyst | 1000 Sunnyside Ave Bldg Room4001, Lawrence, KS 66045-6521 | 2018-08-02 |
| 1255857496 | Katherine Johnson | Pharmacist | 1501 N Campbell Ave Pharmacy Services Box 245009, Tucson, AZ 85724-0001 | 2017-08-18 |
| 1497279137 | Katherine Ryan Johnson | Nurse Practitioner | 1532 Robert E. Lee Blvd, New Orleans, LA 70122 | 2017-08-02 |
| 1699220707 | Katherine Anne Williams Johnson | Nurse Practitioner | 947 Scotland Dr, Suite #107, Desoto, TX 75115-2090 | 2016-08-18 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| 1407279300 | Katherine Johnson | Pharmacist | 6388 W Pontiac Dr, Glendale, AZ 85308-6666 | 2014-01-28 |
| 1962830166 | Katherine Eileen Johnson | Occupational Therapist | 2932 N Damen Ave, Apartment 2, Chicago, IL 60618-8206 | 2013-10-24 |
| 1821436981 | Katherine Jo Johnson | Veterinarian | 5624 State Route 5, Herkimer, NY 13350-3513 | 2013-06-11 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1205101110 | Katherine Wood Johnson | Nurse Practitioner | 4805 Columbia Pike, Thompsons Station, TN 37179-5207 | 2012-03-12 |
| Street Address |
1049 MAIN STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659476356 | Caring Health Center, Inc. | Dentist | 1049 Main Street, Springfield, MA 01103 | 2006-09-14 |
| 1518449198 | Nataliya Sevastyanova | Registered Nurse | 1049 Main Street, Springfield, MA 01103-0110 | 2018-08-30 |
| 1619317849 | Kalyan Katta | Dentist | 1049 Main Street, Springfield, MA 01103 | 2013-07-02 |
| 1598003576 | Raghuveer Reddy Rakasi | Specialist | 1049 Main Street, Springfield, MA 01103-2114 | 2013-01-25 |
| 1467705558 | Rachel Wu | Nurse Practitioner | 1049 Main Street, Springfield, MA 01103 | 2012-10-26 |
| 1245563741 | Vela A Nicasio | Dietitian, Registered | 1049 Main Street, Springfield, MA 01103 | 2009-09-15 |
| 1649415845 | Linda H Lavallee | Nurse Practitioner | 1049 Main Street, Springfield, MA 01103 | 2008-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1255951331 | Bryndi Raye Shirley | Nurse Practitioner | 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 | 2020-04-20 |
| 1750900379 | Gemma Nicole D'angelo | Nurse Practitioner | 996 Stoneybrook Dr, Springfield, PA 19064-3829 | 2020-04-14 |
| 1629607882 | Melanie Herrin | Nurse Practitioner | 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 | 2020-04-08 |
| 1871133520 | Deborah Ann Tully | Nurse Practitioner | 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 | 2020-01-10 |
| 1932759651 | Amanda Couchon | Nurse Practitioner | 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 | 2019-09-14 |
| 1760947410 | Andrea K Leger | Nurse Practitioner | 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 | 2019-02-07 |
| 1417421579 | Stephanie M Yeager | Nurse Practitioner | 3850 S National Ave Ste 700, Springfield, MO 65807-5292 | 2019-01-11 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
Please comment or provide details below to improve the information on KATHERINE S 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.