NICOLE JOHNSON (NPI# 1700078821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700078821 |
| Entity Type | Individual |
| Full Name | NICOLE JOHNSON |
| Practice Address |
201 Deermount St Ketchikan AK 99901-6649 |
| Practice Telephone | 9072257825 |
| Practice Fax Number | 9072251541 |
| Mailing Telephone | 9072257825 |
| Mailing Fax Number | 9072251541 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CM2801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188991 | Nicole Lynn Johnson | Occupational Therapist | 2616 Overlake Ave, Orlando, FL 32806-7353 | 2020-06-11 |
| 1861015893 | Nicole Johnson | Registered Nurse | 5794 193rd St W, Farmington, MN 55024-9579 | 2020-05-26 |
| 1255969705 | Nicole Rochshel Johnson | Home Health Aide | 4045 Regina Coeli Ct, Marrero, LA 70072-6354 | 2020-03-31 |
| 1942859038 | Nicole Johnson | Developmental Therapist | 7355 13th Ave Nw, Seattle, WA 98117-5306 | 2019-09-10 |
| 1053974360 | Nicole Johnson | Student in an Organized Health Care Education/Training Program | 28741 Appletree, Mission Viejo, CA 92692-1088 | 2019-04-22 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 1295228310 | Nicole Marie Johnson | Technician | 2807 Douglass Pl Se, Washington, DC 20020-4420 | 2018-06-13 |
| 1922512078 | Nicole Johnson | Occupational Therapy Assistant | 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 | 2017-11-28 |
| 1083133490 | Nicole Rebecca Liu Johnson | Psychologist | 20826 2nd Ave W, Lynnwood, WA 98036-7256 | 2017-09-18 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| Street Address |
201 DEERMOUNT ST |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194848184 | Lisa C Noland | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-04-06 |
| 1659901767 | Debra Kinerk | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1194355206 | Chris Mark Glanzer | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1790315893 | Jessica Breanne Lutton | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1669002770 | Darryl Anthony Simons | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1184254286 | Anthonny Ramiero Chulik | Behavior Technician | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1447880547 | Christine Marie Furey | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1831744069 | Ruth Anne Bullock | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2019-08-05 |
| 1295213148 | Renee Danielle Murray | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2018-08-02 |
| 1407191760 | Dawn Rebecca Frizzell | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2012-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141194 | Harry Martin Jr. | Case Manager/Care Coordinator | 39 Lake Rd, Ketchikan, AK 99901-9769 | 2018-11-01 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1770887820 | Steffani Rae Schwierking | Case Manager/Care Coordinator | 176 Pond Reef Rd, Ketchikan, AK 99901-9308 | 2011-01-04 |
| 1841409208 | Maryann Olsen | Case Manager/Care Coordinator | 4604 North Tongass, Ketchikan, AK 99901 | 2007-05-22 |
| 1326257544 | Laurie Anne Thomas | Case Manager/Care Coordinator | Community Connections, 201 Deermount St., Ketchikan, AK 99901 | 2007-05-22 |
| 1194848184 | Lisa C Noland | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-04-06 |
| 1407474455 | Jessica Peavy | Case Manager/Care Coordinator | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1588282537 | Faylene Benito | Case Manager/Care Coordinator | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1952713430 | Kathleen Kloep | Case Manager/Care Coordinator | 721 Stedman St, Ketchikan, AK 99901-6632 | 2014-06-02 |
| 1861804338 | Sharyl Yeisley | Case Manager/Care Coordinator | 721 Stedman St, Ketchikan, AK 99901-6632 | 2014-06-02 |
| Find all providers in KETCHIKAN | ||||
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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.