BRENDA JOHNSON (NPI# 1659844199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659844199 |
| Entity Type | Individual |
| Full Name | BRENDA JOHNSON |
| Credential | CRNP |
| Practice Address |
501 S 54th St Philadelphia PA 19143-1900 |
| Mailing Address |
33 N Cummings Dr Middletown DE 19709-1666 |
| Practice Telephone | 2157489327 |
| Mailing Telephone | 2677071048 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F11180497 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041681 | Brenda L Johnson | Dietitian, Registered | 12383 S 78th St, Papillion, NE 68046-4765 | 2019-12-28 |
| 1700423829 | Brenda Johnson | Massage Therapist | 2375 Professional Heights Dr Ste 260, Lexington, KY 40503-3040 | 2019-12-09 |
| 1255990206 | Brenda L. Johnson | Licensed Practical Nurse | 6412 Baragon Hill Rd, Friendship, NY 14739-8668 | 2019-06-12 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| 1053866830 | Brenda Demetrius Johnson | Nurse's Aide | 1114 S Springinsguth Rd Apt 2b, Schaumburg, IL 60193-3463 | 2016-08-22 |
| 1437502853 | Brenda Johnson | Social Worker | 3720 Chuck Wagon Rd, Cheyenne, WY 82009-9418 | 2016-07-20 |
| 1740683499 | Brenda Sue Johnson | Physician Assistant | 8233 Fredericksburg Road, San Antonio, TX 78229 | 2014-10-08 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1942633276 | Brenda Lee Johnson | Foster Care Agency | 308 Sw. Shelby Avenue, Madison, FL 32340-2334 | 2013-08-09 |
| 1568803880 | Brenda Johnson | Massage Therapist | 1788 Broad St, Cranston, RI 02905-3520 | 2013-07-15 |
| Street Address |
501 S 54TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
| 1598322604 | Zena Lee Harrison | Dietitian, Registered | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-05-23 |
| 1346709326 | Lienhuong Thi Nguyen | Occupational Therapist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-03-18 |
| 1518481225 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1689024143 | Surjeet Singh Dheer | Hospitalist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-06-15 |
| 1659726420 | Greggory Wilhoite | Emergency Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-04-29 |
| 1154796928 | Amanda Meehan | Nurse Practitioner | 501 S 54th St, Philadelphia, PA 19143-1900 | 2015-12-04 |
| 1699158352 | Yik Han Chan | Dietitian, Registered | 501 S 54th St, Philadelphia, PA 19143-1900 | 2015-06-30 |
| 1932532504 | Melissa Wing | Registered Nurse | 501 S 54th St, Philadelphia, PA 19143-1900 | 2013-08-18 |
| 1073889051 | Vahid Entezari | Orthopaedic Surgery | 501 S 54th St, Philadelphia, PA 19143-1900 | 2012-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
Please comment or provide details below to improve the information on BRENDA 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.