ERIN KENNEDY JOHNSON


Address: 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041
Phone: 8645225000

ERIN KENNEDY JOHNSON (NPI# 1669843843) 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) 1669843843
Entity Type Individual
Full Name ERIN KENNEDY JOHNSON
Credential N.P.
Practice Address 1809 Wade Hampton Blvd
Suite 120
Greenville
SC 29609-4041
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Practice Telephone 8645225000
Practice Fax Number 8642419257
Mailing Telephone 8647976306
Enumeration Date 2015-10-13
Last Update Date 2015-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
19794 SC Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1809 WADE HAMPTON BLVD
SUITE 120
City GREENVILLE
State SC
Zip Code 29609-4041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629027990 Kurt R Harding Family Medicine 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2006-05-06
1528424942 Angela Uson Mendaros Nurse Practitioner 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2016-01-14
1093187734 Bonnie Sue Kennedy Nurse Practitioner 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2015-10-21
1205198637 Shannon Marie Burgess Pediatrics 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2012-06-12
1427310853 Andrew Jay Burgess Internal Medicine 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2012-06-12
1760772537 Elizabeth Mccoy Mckinney Internal Medicine 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2011-04-14
1285651042 Daniel Borkert Family Medicine 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4050 2006-07-17
1740207406 University Medical Associates, LLC Internal Medicine 1809 Wade Hampton Blvd, Greenville, SC 29609-4041 2006-07-17
1992756100 Jean Kimi Saito Internal Medicine 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 2006-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522376 Piney Mountain Rx LLC Pharmacy 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 2018-09-17
1417434655 Kathryn Dorothy Muschick Pediatrics 900 W. Faris Dr., Greenville, SC 29609 2018-07-20
1942705645 The Wright Home Care, LLC Social Worker 217 E Stone Ave Ste 8, Greenville, SC 29609 2018-03-26
1205388386 Galina Hufstetler Physical Therapist 414 Summit Drive, Apt. 313, Greenville, SC 29609 2016-10-25
1811303225 Cal Jones LLC Pharmacy 961 Montebello Dr, Suite 2, Greenville, SC 29609 2014-07-07
1982954319 John C Shaughnessy Pharmacist 1141 State Park Road, Greenville, SC 29609 2012-09-13
1770842726 Neil S Sondov Counselor 1100 Rutherford Road, Greenville, SC 29609 2012-05-11
1790044915 Crystal Ervin Counselor 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 2012-05-08
1881992840 Cherrydale Dental Associates, LLC Dentist 105 State Park Rd, Greenville, SC 29609 2011-03-01
1649584483 Paul E Waters Pharmacist 1 East Stone Ave, Greenville, SC 29609 2010-08-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1659904183 Joante Kirk Nurse Practitioner 1699 S Main St, Greenville, MS 38701-7364 2020-02-12
1578103859 Michelle Earley Nurse Practitioner 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 2020-01-14
1871138149 Paola Andrea Mora Tobon Nurse Practitioner 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 2019-11-11
1144863895 Rashemia Latricia Suber Nurse Practitioner 814 Riviera Cir N, Greenville, MS 38701-8029 2019-10-25
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1487116745 Megan Rogers Semanski Nurse Practitioner 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 2019-04-04
1053884247 Renee L Bridges Nurse Practitioner 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 2019-01-10
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Competitor

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City GREENVILLE
Zip Code 29609

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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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