DR. BEVERLY C JOHNSON (NPI# 1669489639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669489639 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY C JOHNSON |
| Credential | MD |
| Practice Address |
10220 Dixie Beeline Hwy Guthrie KY 42234 |
| Mailing Address |
10220 Dixie Beeline Hwy Guthrie KY 42234-9310 |
| Practice Telephone | 2702200340 |
| Practice Fax Number | 2702200341 |
| Mailing Telephone | 2702200340 |
| Mailing Fax Number | 2702200340 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD28806 | TN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 35099 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3811144 | 05 | |
| KY | 64350994 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123b Center Pointe Dr, Clarksville, TN 37040 | 9312450600 | 9312450605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1043578164 | Beverly Ann Johnson | Adult Companion | 5304 Yaroley Ter., Durham, NC 27707 | 2012-04-26 |
| 1336410281 | Beverly S Johnson | Physical Therapy Assistant | 2443 Watkins Grove Pt, Greensboro, NC 27406-9034 | 2012-01-24 |
| 1295973691 | Beverly Berganos Johnson | Physician Assistant | 8160 Walnut Hill Ln Ste 200, Dallas, TX 75231-4340 | 2009-01-23 |
| 1942337795 | Beverly J Johnson | Licensed Practical Nurse | 109 Center St, Caledonia, OH 43314-9493 | 2007-02-28 |
| 1053482216 | Beverly Johnson | Speech-Language Pathologist | 710 Carpenter Fletcher Rd, Durham, NC 27713-1940 | 2006-11-10 |
| 1295836492 | Beverly Jean Johnson | Psychologist | 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 | 2006-09-26 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1265058028 | Beverly Johnson | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-17 |
| 1003344938 | Beverly R Johnson | Counselor | 2404 Ferrand St Ste 23, Monroe, LA 71201 | 2017-05-23 |
| Street Address |
10220 DIXIE BEELINE HWY |
| City | GUTHRIE |
| State | KY |
| Zip Code | 42234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700321353 | Community Health Centers of Western Kentucky Inc | Pediatrics | 10220 Dixie Beeline Hwy, Guthrie, KY 42234-9310 | 2017-01-05 |
| 1659821551 | Latanya Dooley | Nurse Practitioner | 10220 Dixie Beeline Hwy, Guthrie, KY 42234-9310 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881921328 | South Todd Elementary School Clinic | Public Health or Welfare | 4115 Guthrie Rd, Guthrie, KY 42234-9114 | 2009-11-04 |
| 1194755181 | Gregory Jay Myers | Pediatrics | 10220 Dixie Beeline Highway, Guthrie, KY 42234-9310 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469349 | Christina Calvert | Case Manager/Care Coordinator | 6350 E Forrest Hills Rd, Guthrie, OK 73044-9073 | 2020-08-29 |
| 1790396042 | Amazing Life Behavioral Health and Addiction Services | Counselor | 324 N 19th St Ste 101, Guthrie, OK 73044-2117 | 2020-08-11 |
| 1114544871 | Candace Herrin | Nurse Practitioner | 1201 S Division St, Guthrie, OK 73044-5021 | 2020-06-29 |
| 1851912992 | Miranda Rochelle Smith | Student in an Organized Health Care Education/Training Program | 915 E Warner Ave, Guthrie, OK 73044-3618 | 2020-04-29 |
| 1972139830 | Vanessa M Jones | Counselor | 5511 Meadowlake Dr, Guthrie, OK 73044-6656 | 2020-03-22 |
| 1700419405 | Morgan Elizabeth Cieslak | Peer Specialist | 1301 E Harrison Ave, Guthrie, OK 73044-5413 | 2020-02-20 |
| 1467085399 | Transitions Inc Guthrie | Clinic/Center | 1324 N Wentz St Ste E&f, Guthrie, OK 73044-1893 | 2020-02-19 |
| 1972135929 | Corbin Elizabeth Cordis | Nurse Practitioner | 1218 Magnolia Ct, Guthrie, OK 73044-2027 | 2020-02-07 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1689219321 | Heather Blane Beard | Peer Specialist | 423 S Capitol St, Guthrie, OK 73044-5301 | 2019-11-15 |
| Find all providers in GUTHRIE | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194755181 | Gregory Jay Myers | Pediatrics | 10220 Dixie Beeline Highway, Guthrie, KY 42234-9310 | 2006-07-04 |
| 1700321353 | Community Health Centers of Western Kentucky Inc | Pediatrics | 10220 Dixie Beeline Hwy, Guthrie, KY 42234-9310 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
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| 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.