JESSICA MARIS JOHNSON (NPI# 1730630468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730630468 |
| Entity Type | Individual |
| Full Name | JESSICA MARIS JOHNSON |
| Other Name | JESSICA MARIS MOATES |
| Credential | RN |
| Practice Address |
2129 Sw 59th St Oklahoma City OK 73119-7024 |
| Practice Telephone | 4057135873 |
| Practice Fax Number | 4057135816 |
| Mailing Telephone | 4057135873 |
| Mailing Fax Number | 4057135816 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
862098 | TX | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
82477 | OK | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
82477 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1134747165 | Jessica Johnson | Registered Nurse | 535 Los Alamos Rd, Santa Rosa, CA 95409-4425 | 2020-07-07 |
| 1710504311 | Jessica Lee Johnson | Registered Nurse | 7373 W 6th Ave, Lakewood, CO 80214-4518 | 2020-06-30 |
| 1427670827 | Jessica Johnson | Registered Nurse | 745 Shaker Mill Rd, Bowling Green, KY 42103-9064 | 2020-05-08 |
| 1124649926 | Jessica Delores Johnson | Nurse Practitioner | 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 | 2020-05-03 |
| 1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
| 1215588819 | Jessica Johnson | Counselor | 1001 John D Odom Rd, Dothan, AL 36303-9485 | 2019-09-25 |
| 1356905145 | Jessica Johnson | Technician | 2506 14th St Ne Apt 2, Washington, DC 20018-1928 | 2019-04-26 |
| 1043776503 | Jessica Johnson | Nurse Practitioner | 3303 Duval St, Jupiter, FL 33458-8259 | 2019-02-20 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| Street Address |
2129 SW 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73119-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743597 | Mary E. Skidmore | Social Worker | 2129 Sw 59th St, Myhro Center, Oklahoma City, OK 73119-7024 | 2005-07-12 |
| 1639728991 | Gary Peitzmeier | Case Manager/Care Coordinator | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2019-09-10 |
| 1811459282 | Angela Carol Roberts | Case Manager/Care Coordinator | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2019-04-03 |
| 1184115271 | Monica Elizabeth Goodwin | Case Manager/Care Coordinator | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2018-05-23 |
| 1790288686 | Micky Renee Unruh | Counselor | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2018-03-16 |
| 1205338829 | Julie Ann Gaglione | Counselor | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2018-02-28 |
| 1437500873 | Curahealth Oklahoma, LLC | Long Term Care Hospital | 2129 Sw 59th St, 2nd Floor, Oklahoma City, OK 73119-7024 | 2016-06-27 |
| 1629333950 | Chittranjan Verma | Psychiatry & Neurology | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2012-07-12 |
| 1730404252 | Terry Lynn Simpson | Counselor | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2010-03-29 |
| 1962601005 | Thomas Wayne Davis | Internal Medicine | 2129 Sw 59th St, Suite 1238, Oklahoma City, OK 73119-7024 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376064592 | Focus Optical Inc. | Technician/Technologist | 12444 Nw 10th St, Bldg H Ste 101, Oklahoma City, OK 73119 | 2017-06-28 |
| 1730561176 | Elaine C Cheatham | Case Manager/Care Coordinator | 2124 Sw 48th Street, Oklahoma City, OK 73119 | 2015-06-22 |
| 1215326038 | Life and Hope Counseling LLC | Counselor | 2212 Sw 55th St, Okc, OK 73119 | 2015-01-16 |
| 1063761179 | Virginia Sanchez | Counselor | 2508 Sw 56th Street, Oklahoma City, OK 73119 | 2012-09-05 |
| 1720367493 | Hilarie Dawn Danner | Counselor | 2434 Sw 44 St., Oklahoma City, OK 73119 | 2011-08-11 |
| 1265630032 | Optics Inc Economy Square Optical | Technician/Technologist | 1605 Sw 59, Donnas Optical, Ok City, OK 73119 | 2007-07-03 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1073625299 | Nathan Dennis Schacter | Chiropractor | 2228 Sw 59th, Oklahoma City, OK 73119 | 2006-09-01 |
| 1548289655 | John Bernard Hughes Jr. | Orthopaedic Surgery | 2149 Southwest 59th Street, Suite 102, Oklahoma City, OK 73119 | 2006-07-19 |
| Find all providers in zip 73119 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881141000 | Elizabeth Muburi | Nurse Practitioner | 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 | 2016-09-06 |
| 1417254236 | Vanessa Roxane Long | Nurse Practitioner | 100 Nw 63rd St Ste 100, Oklahoma City, OK 73116-8208 | 2011-02-14 |
| 1205468881 | Magdaline Epie | Nurse Practitioner | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-02-11 |
| 1841851672 | Lynn Armah | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2019-06-24 |
| 1912565995 | Jamie Holz | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2019-06-04 |
| 1497222616 | Renate Sabine Winningham | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2018-10-25 |
| 1184109787 | Brooke Peyton | Nurse Practitioner | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112-8766 | 2018-09-28 |
| 1780184754 | Paula Jean Rother | Nurse Practitioner | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2018-02-16 |
| 1376052944 | Northside Psychiatry Pllc | Nurse Practitioner | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112 | 2017-09-26 |
| 1528104684 | Sue Cheril Rollins | Nurse Practitioner | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2007-01-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73119 |
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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.