MRS. SUELLEN CAROLINE CRUZ JOHNSON


Address: 1120 E 77th Ter, Kansas City, MO 64131-1939
Phone: 8163139985

MRS. SUELLEN CAROLINE CRUZ JOHNSON (NPI# 1659996585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659996585
Entity Type Individual
Full Name MRS. SUELLEN CAROLINE CRUZ JOHNSON
Other Name SUELLEN CAROLINE MARQUES JOHNSON
Practice Address 1120 E 77th Ter
Kansas City
MO 64131-1939
Practice Telephone 8163139985
Mailing Telephone 8163139985
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
2020014754 MO Ambulatory Health Care Facilities

Office Location

Street Address 1120 E 77TH TER
City KANSAS CITY
State MO
Zip Code 64131-1939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437765450 Jordana D'neil Mancini Speech-Language Pathologist 1000 E 68th St, Kansas City, MO 64131 2020-09-16
1205445780 Jordan Barr Physical Therapist 1000 E 68th Street, Kansas City, MO 64131 2020-07-30
1093330599 Tarek Haidar Student in an Organized Health Care Education/Training Program Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 2020-06-10
1053870139 Katherine Field Student in an Organized Health Care Education/Training Program Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 2019-03-18
1962998328 Mandy Winkert Registered Nurse 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 2018-07-09
1386149623 Sarah Frederike Otter Student in an Organized Health Care Education/Training Program 6675 Holmes #360, Kansas City, MO 64131 2018-03-28
1205354834 Loice Kiante Jones Contractor 1315 E 83rd Terrace, Kansas City, MO 64131 2017-09-04
1104346691 Christy Ann Oxley Occupational Therapist 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 2017-06-26
1407392095 Kara Lea Thomas Chiropractor 1152 E 78th St, Kansas City, MO 64131 2017-01-06
1013373489 Margaret's Place LLC Clinic/Center 7217 Troost Ave, Kansas City, MO 64131 2016-01-14
Find all providers in zip 64131

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508362799 Occupational Health Centers of Kansas Pa Clinic/Center 1333 Meadowlark Ln Ste 200, Kansas City, KS 66102-1200 2018-04-05
1326582560 Brandy Palacios Clinic/Center 1501 N 79th St, Kansas City, KS 66112-2183 2016-12-07
1578913380 Boost Physical Therapy and Sports Performance Clinic/Center 1102 W 101st Ter Apt F, Kansas City, MO 64114-4289 2016-06-13
1154501385 Advanced Physical Therapy and Sports Rehabilitation, P.a. Clinic/Center 6419 N Cosby Ave, Kansas City, MO 64151-2378 2007-11-05
1902936917 Occupational Health Centers of Kansas Pa Clinic/Center 720 Oak Street, Kansas City, MO 64106 2007-03-07
1003946096 Occupational Health Centers of Kansas Pa Clinic/Center 6401 E Front St, Kansas City, MO 64120-1356 2007-03-07
1396871364 Occupational Health Centers of Kansas Pa Clinic/Center 4214 Kansas Ave, Kansas City, KS 66106-1119 2007-02-26
1366591216 Hyperbaric Healing Institute Clinic/Center 10060 Nw Prairie View Rd, Kansas City, MO 64153-1344 2007-01-09
1457858524 Occupational Health Centers of Kansas Pa Clinic/Center 6501 E Commerce Ave Ste 110, Kansas City, MO 64120-2176 2018-04-06
1720583693 The Vital Six L.c. Clinic/Center 717 Broadway Blvd Apt 308, Kansas City, MO 64105-2093 2018-03-24
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Competitor

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City KANSAS CITY
Zip Code 64131

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Dataset Information

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.

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