STEPHANIE R JOHNSON (NPI# 1669974754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669974754 |
| Entity Type | Individual |
| Full Name | STEPHANIE R JOHNSON |
| Practice Address |
1265 S Utica Ave Ste 300 Tulsa OK 74104-4243 |
| Mailing Address |
9228 S Mingo Rd Ste 200 Tulsa OK 74133-5722 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9185921021 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9185921021 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214466 | Stephanie Suzanne Johnson | Nurse Practitioner | 3304 Tyler Ct, Lexington, KY 40509-1876 | 2020-08-09 |
| 1679108567 | Stephanie Johnson | Licensed Practical Nurse | 72 Norman St, East Orange, NJ 07017-3415 | 2020-03-11 |
| 1427681139 | Stephanie L Johnson | Counselor | 1325 S Colorado Blvd # B-108, Denver, CO 80222-3303 | 2020-02-20 |
| 1558992792 | Stephanie Jo Johnson | Nurse Practitioner | 106 Riggs Blvd, Bardstown, KY 40004-8067 | 2020-01-27 |
| 1487284485 | Stephanie Johnson | Assistant Behavior Analyst | 1641 Topeka Cir, Sparks, NV 89434-8866 | 2020-01-19 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1902466055 | Stephanie Aull Johnson | Occupational Therapy Assistant | 4611 Hard Scrabble Rd Ste 312, Columbia, SC 29229-8584 | 2019-06-19 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1710448477 | Stephanie Charisse Johnson | Counselor | 802 Eston St, Camarillo, CA 93010-4810 | 2019-03-26 |
| 1144784265 | Stephanie Dawn-marie Johnson | Midwife | 3 Maybrook St, Dorchester, MA 02121-4116 | 2019-01-23 |
| Street Address |
1265 S UTICA AVE STE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269725 | Joseph J Gard | Internal Medicine | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2006-08-05 |
| 1316551559 | Lauren Nicole Willems | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2020-09-04 |
| 1831666726 | Kayla Marie Rials | Physician Assistant | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-10-29 |
| 1982189585 | Cherri Dianne Foster | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-09-28 |
| 1356828594 | Andrea Diane Willibey | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1437650108 | Dacia Elise Pittsley | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-02-27 |
| 1437670585 | Lauren E Stegemann | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-06-29 |
| 1275066839 | Elizabeth Baird Walton | Physician Assistant | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-04-10 |
| 1164805834 | Natalee Pendergraft | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2015-06-30 |
| 1457732893 | Charles Spradlin | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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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.