CASSANDRA MARIE JOHNSON (NPI# 1700360021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700360021 |
| Entity Type | Individual |
| Full Name | CASSANDRA MARIE JOHNSON |
| Practice Address |
1950 Parallel Dr Lakeport CA 95453-9388 |
| Mailing Address |
2730 Shadelands Dr Bldg 10 Walnut Creek CA 94598-2538 |
| Practice Telephone | 7072633949 |
| Practice Fax Number | 7072633985 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 Parallel Dr, Lakeport, CA 954539388 | 7072633949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859392 | Cassandra Shelaine Johnson | Licensed Vocational Nurse | 5309 Spicewood Dr, Mckinney, TX 75070-9461 | 2020-10-21 |
| 1710592902 | Cassandra Johnson | Counselor | 14318 Alaman Dr, Houston, TX 77090-2488 | 2020-09-14 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1164916516 | Cassandra Johnson | Registered Nurse | 2486 Pond Circle West, Mendota Heights, MN 55120 | 2018-06-19 |
| 1376924514 | Cassandra Latasha Johnson | Counselor | 1 Georgia C. Wilson Court, Suite A, Augusta, GA 30909 | 2015-06-13 |
| 1992004964 | Cassandra Leigh Johnson | Massage Therapist | 3202 S Mason Ave, L-208, Tacoma, WA 98409-2278 | 2011-03-16 |
| 1487983557 | Cassandra Lynn Johnson | Social Worker | 127 Tunstall Rd, Danville, VA 24541-4236 | 2009-12-18 |
| 1780202853 | Cassandra Caroline Johnson | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-06 |
| 1649731738 | Cassandra Maria Johnson | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2019-03-29 |
| 1689168817 | Cassandra Johnson | Dermatology | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2018-06-20 |
| Street Address |
1950 PARALLEL DR |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-9388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451986 | Mary Ruth Prather | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-21 |
| 1194200956 | Martyna Joanna Blissky | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-27 |
| 1932684784 | Jessica Salmeron | Specialist | 1950 Parallel Dr, Lakeport, CA 95453 | 2018-09-27 |
| 1487138558 | Soledad Rose Aguayo | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-24 |
| 1447734736 | Bonnie Gaylene Bonnett | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612348 | Ivette Lepe | Specialist | 1173 Eleventh St, Lakeport, CA 95453-4113 | 2019-07-30 |
| 1619451986 | Mary Ruth Prather | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-21 |
| 1194200956 | Martyna Joanna Blissky | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-27 |
| 1932684784 | Jessica Salmeron | Specialist | 1950 Parallel Dr, Lakeport, CA 95453 | 2018-09-27 |
| 1487138558 | Soledad Rose Aguayo | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-24 |
| 1447734736 | Bonnie Gaylene Bonnett | Specialist | 1950 Parallel Dr, Lakeport, CA 95453-9388 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.