SONDA RENA JOHNSON (NPI# 1679003628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679003628 |
| Entity Type | Individual |
| Full Name | SONDA RENA JOHNSON |
| Practice Address |
6800 State Route 162 Maryville IL 62062-8500 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6182885711 |
| Practice Fax Number | 6182884088 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.015355 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6800 STATE ROUTE 162 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666804 | Legatus Emergency Services LLC | Emergency Medicine | 6800 State Route 162, Maryville, IL 62062-8500 | 2005-06-01 |
| 1598373052 | Brittany Smith | Nurse Anesthetist, Certified Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2020-07-21 |
| 1285251033 | Cory Ray Austin | Nurse Anesthetist, Certified Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2020-06-28 |
| 1043856701 | Mallory Jean Stimac | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-11-18 |
| 1023577442 | Christie Marie Keen | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-03-15 |
| 1437623287 | Teressa Vigil | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2019-01-15 |
| 1891268355 | Eric Michael Watson | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-01-08 |
| 1649748831 | Mary Holowatuk | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8521 | 2018-11-06 |
| 1558846741 | Cori Warren | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2018-10-03 |
| 1134604366 | Anna Mcnamara | Physical Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779184 | Elizabeth Bell | Nurse Practitioner | 6411 Howard School Rd, Maryville, TN 37801-1436 | 2019-09-11 |
| 1477742047 | David E Johnson | Nurse Practitioner | 2090 Uadalabene Drive, Maryville, IL 62062 | 2007-10-19 |
| 1801967765 | Cynthia Tucker Canfield | Nurse Practitioner | 252 Cherokee Professional Park, Maryville, TN 37804-5153 | 2006-11-13 |
| 1407899446 | Jennifer M Morton | Nurse Practitioner | 250 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 | 2006-06-14 |
| 1821039348 | Donna J. Smith | Nurse Practitioner | 2012 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2006-06-08 |
| 1023577442 | Christie Marie Keen | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-03-15 |
| 1912478231 | Ryan Parker | Nurse Practitioner | 6812 State Route 162 Ste 202, Maryville, IL 62062-8562 | 2018-12-14 |
| 1902398969 | Align Health Management Inc. | Nurse Practitioner | 2732 Us Highway 411 S, Maryville, TN 37801-3104 | 2018-06-05 |
| 1528585403 | Angela Christine Chaffin | Nurse Practitioner | 252 Cherokee Professional Park, Maryville, TN 37804 | 2017-08-23 |
| 1063945558 | Heather Renee Snow | Nurse Practitioner | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2017-04-11 |
| Find all providers in MARYVILLE | ||||
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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.