SHELLEY L JOHNSON (NPI# 1750603130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750603130 |
| Entity Type | Individual |
| Full Name | SHELLEY L JOHNSON |
| Credential | APNP |
| Practice Address |
9697 Saint Catherines Dr # 300 Pleasant Prairie WI 53158 |
| Mailing Address |
9555 76th St Pleasant Prairie WI 53158-1984 |
| Practice Telephone | 2625778320 |
| Practice Fax Number | 2625778321 |
| Mailing Telephone | 2625778300 |
| Mailing Fax Number | 2625778412 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3976 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE( FROEDTERT SOUTH) | K400194647 | 01 |
| WI | 1750603130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345926 | Shelley Johnson | Nurse Practitioner | 8921 Southpointe Dr, Indianapolis, IN 46227-1084 | 2020-04-22 |
| 1952846248 | Shelley Johnson | Occupational Therapist | 4545 Cordata Pkwy, Suite Ll4, Bellingham, WA 98226-7263 | 2016-12-22 |
| 1003271891 | Shelley Johnson | Counselor | 3840 5th Ave N, St Petersburg, FL 33713-7521 | 2015-12-21 |
| 1942680251 | Shelley Johnson | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2015-06-02 |
| 1073859047 | Shelley Kay Johnson | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2012-12-19 |
| 1891970661 | Shelley Renee Johnson | Social Worker | 5920 Coliseum Blvd, Alexandria, LA 71303-3714 | 2007-12-29 |
| 1295923340 | Shelley Marie Johnson | Registered Nurse | 1055 N Capitol Ave, #38, San Jose, CA 95133-2701 | 2007-10-12 |
| 1104897909 | Shelley Johnson | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-01-30 |
| Street Address |
9697 SAINT CATHERINES DR # 300 |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649576653 | Diana Evelyn Rogers | Podiatrist | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158-2118 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| 1588671838 | Daniel James Johnson | Dentist | 9809 39th Avenue, Suite #1, Pleasant Prairie, WI 53158 | 2006-08-01 |
| Find all providers in zip 53158 | ||||
| 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 |
|---|---|---|---|---|
| 1205471679 | Hazel Acacio | Nurse Practitioner | 9555 76th St # 1200, Pleasant Prairie, WI 53158-1984 | 2019-11-08 |
| 1093274425 | Laronda James | Nurse Practitioner | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2019-03-15 |
| 1093292625 | Shannon L Yow | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-07-26 |
| 1992177976 | Dennis M Orellana Bonilla | Nurse Practitioner | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | 2015-10-29 |
| 1720494321 | Sarah M Foster | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2014-07-03 |
| 1205183415 | Grethe June Mortenson | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2012-08-07 |
| 1811052319 | Jacqueline A Stark | Nurse Practitioner | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.