SUMMER JOHNSON (NPI# 1639211048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639211048 |
| Entity Type | Individual |
| Full Name | SUMMER JOHNSON |
| Practice Address |
2800 Cleveland Ave N Roseville MN 55113-1126 |
| Mailing Address |
1724 Woodgate Ln Eagan MN 55122-2433 |
| Practice Telephone | 6516421825 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2278P3900X |
Respiratory Therapist, Certified Specialization: Neonatal/Pediatrics |
3153 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2278P3900X |
Respiratory Therapist, Certified Specialization: Neonatal/Pediatrics |
2910 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646904 | Summer Johnson | Home Health Aide | 1250 Arnold Ave, Akron, OH 44305-2611 | 2019-06-03 |
| 1083030969 | Summer Lynn Johnson | Marriage & Family Therapist | 463 Cimarron Ave, Saratoga Springs, UT 84045-6535 | 2014-03-15 |
| 1396890687 | Summer Johnson | Developmental Therapist | 10867 Freedom Blvd, Seminole, FL 33772-3021 | 2007-01-24 |
| 1871138339 | Summer Johnson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-11-08 |
| 1821595950 | Summer Lynn Johnson | Pain Medicine | 7005 Woodway Dr Ste 101, Waco, TX 76712 | 2018-04-05 |
| 1841692530 | Summer Johnson | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2014-09-24 |
| 1164686762 | Summer Rae Johnson | Physical Therapist | 2802 Castles Gate Dr, Sioux City, IA 51106-7203 | 2008-07-12 |
| 1871786392 | Summer Danielle Johnson | Psychologist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2007-08-20 |
| 1518177625 | Summer M Johnson | Anesthesiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-23 |
| Street Address |
2800 CLEVELAND AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141213 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
| 1386129211 | Briana Blackstad | Pharmacist | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-09-26 |
| 1699272823 | Alea Joy Chalmers | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1518464742 | Kayla Emily Skog | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
| 1316482649 | Sonja Mydels | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2016-12-22 |
| 1427488048 | Lana Kalleen Clark | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2013-11-18 |
| 1205197936 | Karah Lin Pendergrass | Licensed Practical Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1740540475 | Katherine Louise Peper | Student in an Organized Health Care Education/Training Program | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1205110749 | Mari Brown | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 2278P3900X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Neonatal/Pediatrics |
| The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093287690 | Monica Grace Arbizo | Respiratory Therapist, Certified | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-19 |
| 1831660182 | Stacy Druivenga | Respiratory Therapist, Certified | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-16 |
| 1841761350 | Michael David Staahl | Respiratory Therapist, Certified | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-09 |
| 1861534273 | Lisa Jenson | Respiratory Therapist, Certified | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-02-13 |
Please comment or provide details below to improve the information on SUMMER 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.