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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2020014754 | MO | Ambulatory Health Care Facilities |
Street Address |
1120 E 77TH TER |
City | KANSAS CITY |
State | MO |
Zip Code | 64131-1939 |
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 Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
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 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64131 |
Please comment or provide details below to improve the information on MRS. SUELLEN CAROLINE CRUZ 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.