JACQUELINE JOHNSON (NPI# 1679114508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679114508 |
| Entity Type | Individual |
| Full Name | JACQUELINE JOHNSON |
| Practice Address |
773 Gilbert St Columbus OH 43206-1516 |
| Practice Telephone | 6142668033 |
| Mailing Telephone | 6142668033 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| 1750651626 | Jacqueline E Johnson | Registered Nurse | 2 Devon Rd, Brentwood, NY 11717-2142 | 2012-01-09 |
| Street Address |
773 GILBERT ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43206-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174011464 | Satyawati Potaraju Dds LLC | Dentist | 1151 S High Street, Columbus, OH 43206 | 2018-04-23 |
| 1487162806 | Inner Health Chiropractic, Inc | Chiropractor | 1201 South High Street, Inner Health Chiropractic, Columbus, OH 43206 | 2018-01-19 |
| 1285157578 | Carlisha Monique Lane | In Home Supportive Care | 1069 Berkeley Road, Columbus, OH 43206 | 2017-07-19 |
| 1386049187 | Talisa Clegg | Community Health Worker | 712 Frebis Avenue, Columbus, OH 43206 | 2014-10-23 |
| 1013138692 | Tonika Isedreika Martin | Licensed Practical Nurse | 750 Hanford St., Columbus, OH 43206 | 2007-05-01 |
| 1679693105 | Vinh Truyen Quoc Nguyen | Internal Medicine | 1071 City Park Avenue, Columbus, OH 43206 | 2007-03-29 |
| 1013042563 | Merion Alice Brown | Home Health Aide | 984 Miller Avenue, Columbus, OH 43206 | 2007-02-23 |
| 1174541502 | Paige Ann Priest | Licensed Practical Nurse | 74 Frebis Ave, Columbus, OH 43206 | 2006-07-17 |
| 1548238017 | Roy A. Gill | Family Medicine | 1405 South High St., Columbus, OH 43206 | 2006-03-10 |
| 1699260125 | Ryan William Hansen | Psychologist | 946 Parsons Ave, Columbus, OH 43206 | 2018-06-27 |
| Find all providers in zip 43206 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068692 | Ryan Bailey | Peer Specialist | 1576 Omar Dr, Columbus, OH 43207-2746 | 2020-09-22 |
| 1467062117 | Julie A Leach | Peer Specialist | 36 Santa Maria Ln, Columbus, OH 43213-1843 | 2020-08-07 |
| 1932739042 | Michael Stephen Barrett | Peer Specialist | 490 Forest St, Columbus, OH 43206-2316 | 2020-01-17 |
| 1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
| 1942848619 | Jacqueline T Doodley | Peer Specialist | 2475 Perdue Ave, Columbus, OH 43211-1876 | 2019-12-12 |
| 1184275992 | Steven Sweatte | Peer Specialist | 311 Taylor Ave, Columbus, OH 43203-1757 | 2019-09-23 |
| 1184279671 | Anthony B Cook | Peer Specialist | 2834 S High St, Columbus, OH 43207-3660 | 2019-08-02 |
| 1801448717 | Cale Burke | Peer Specialist | 1796 Stilton Ave, Columbus, OH 43228-4574 | 2019-07-10 |
| 1326608043 | Erica N Tynes | Peer Specialist | 6370 Ambleside Dr Apt C, Columbus, OH 43229-1994 | 2019-06-14 |
| 1114586534 | Paul Kendall Vandoorn | Peer Specialist | 5500 Millersfield Dr Apt 104, Columbus, OH 43232-7765 | 2019-06-10 |
| Find all providers in COLUMBUS | ||||
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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.