HOLLI KERVIN JOHNSON (NPI# 1730607672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730607672 |
| Entity Type | Individual |
| Full Name | HOLLI KERVIN JOHNSON |
| Credential | NP |
| Practice Address |
6490 Memphis Arlington Rd Ste 106 Bartlett TN 38135-7439 |
| Mailing Address |
4772 Navy Rd Ste A Millington TN 38053-1927 |
| Practice Telephone | 9017621531 |
| Practice Fax Number | 9017621532 |
| Mailing Telephone | 9018730930 |
| Mailing Fax Number | 9018730931 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 00000000000000 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1990 Holton Ave E, Big Stone Gap, VA 242193350 | 2765233111 | |
| 4772 Navy Rd Ste A, Millington, TN 380531927 | 9018730930 | 9018730931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457787442 | Holli Dorothea Johnson | Counselor | 424 E Logan Ave, Guthrie, OK 73044-3340 | 2013-09-23 |
| 1790130011 | Holli Johnson | Social Worker | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-25 |
| 1184092488 | Holli Hinote Johnson | Nurse Practitioner | 660 Mcqueen Smith Rd N, Ste E, Prattville, AL 36066-7554 | 2015-09-03 |
| Street Address |
6490 MEMPHIS ARLINGTON RD STE 106 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38135-7439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262638 | Hamad Ahmad Md PC | Clinic/Center | 6490 Memphis Arlington Rd Ste 106, Bartlett, TN 38135-7439 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677907 | Hamad Ahmad Md PC | Family Medicine | 6490 Memphis Arlington Rd Suite 106, Bartlett, TN 38135 | 2020-04-06 |
| 1699143156 | Cortney Brugal | Pharmacist | 3881 Rim Creek Ln, Memphis, TN 38135 | 2015-09-14 |
| 1841689783 | Georginia Melius Ix | Occupational Therapist | 3655 Jalan Drive, Bartlett, TN 38135 | 2015-01-15 |
| 1518123033 | Sheila Ann Perkins | Occupational Therapy Assistant | 3909 Old Covington Pike Road, Memphis, TN 38135 | 2008-08-04 |
| 1881815801 | Rahul Vasant Sonone | Psychiatry & Neurology | 7645 Wolfriver Circle, 100, Germatown, TN 38135 | 2007-05-01 |
| 1295873842 | Tanya Lasha Hill | Counselor | 7410 Memphis-arlington Road, Memphis, TN 38135 | 2007-02-02 |
| 1013056084 | Nicole Lynn Gebke | Social Worker | 7410 Memphis-arlington Rd, Bartlett, TN 38135 | 2007-02-06 |
| 1922056431 | Carl J Siciliano | Podiatrist | 7424 Us Highway 64, Ste 119, Bartlett, TN 38135 | 2006-05-05 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1124671060 | Anne Ellen Roberson | Nurse Practitioner | 3924 Oak Branch Cir E, Bartlett, TN 38135-0223 | 2019-07-19 |
| Find all providers in zip 38135 | ||||
| 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 |
|---|---|---|---|---|
| 1588123277 | Rima K Thakkar | Nurse Practitioner | 768 Lambert Ln, Bartlett, IL 60103-2327 | 2019-03-13 |
| 1699257105 | Pooja Patel | Nurse Practitioner | 331 Veronica Cir, Bartlett, IL 60103-2304 | 2018-08-30 |
| 1649688987 | Jennifer Potts | Nurse Practitioner | 2996 Kate Bond Rd Ste 305, Bartlett, TN 38133-4063 | 2014-07-30 |
| 1538454046 | Dawn M Barrom | Nurse Practitioner | 7424 Hwy 64, Suite 118, Bartlett, TN 38133 | 2011-06-13 |
| 1770749202 | Sandra Walker Nichols | Nurse Practitioner | 8488 Wolf Valley Ln, Bartlett, TN 38133-2883 | 2008-08-04 |
| 1164412193 | Rick J Lloyd | Nurse Practitioner | 2743 Summer Oaks Dr, Bartlett, TN 38134-2858 | 2005-10-21 |
| 1356971931 | Candice Scurlock | Nurse Practitioner | 2986 Kate Bond Rd, Bartlett, TN 38133-4003 | 2020-01-22 |
| 1881255610 | Ng Holdings | Nurse Practitioner | 7424 Hwy 64, Suite 118, Bartlett, TN 38133 | 2019-06-24 |
| 1679979298 | Tibessa Lawrence-ellis | Nurse Practitioner | 1099 W Army Trail Rd, Bartlett, IL 60103-3001 | 2014-11-10 |
| 1366740375 | Linda Fay Lemon | Nurse Practitioner | 7865 Educators Lane, Suite 300 Lunceford Family Health Center, Bartlett, TN 38133 | 2011-03-01 |
| Find all providers in BARTLETT | ||||
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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.