KELLIE DIANN JOHNSON (NPI# 1750690004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750690004 |
| Entity Type | Individual |
| Full Name | KELLIE DIANN JOHNSON |
| Practice Address |
1412 15th St Huntsville TX 77340-4430 |
| Practice Telephone | 9362220788 |
| Mailing Telephone | 9362220788 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 221883 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871860817 | Kellie Simpson Johnson | Speech-Language Pathologist | 5106 W Running Brook Rd, Columbia, MD 21044-1522 | 2011-11-18 |
| 1447307632 | Kellie Suzanne Johnson | General Practice | 2221 9th St Sw, Canton, OH 44706-1464 | 2007-01-03 |
| 1346337375 | Kellie Anita Johnson | Dentist | 815 E Berry St # B, Ft Worth, TX 76110-4414 | 2006-10-10 |
| 1235741331 | Kellie Lucille Johnson | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2020-08-19 |
| 1124553870 | Kellie Johnson | Occupational Therapist | 1301 Pierce Ave, Toronto, OH 43964-1015 | 2017-05-01 |
| 1487192696 | Kellie Johnson | Licensed Practical Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-02-08 |
| 1689064321 | Kellie L Johnson | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2015-02-03 |
| 1689916447 | Kellie Marie Johnson | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2013-03-20 |
| 1750632089 | Kellie Renae Johnson | Specialist | 1315 Sw 6th Ave Ste B, Topeka, KS 66606-1582 | 2012-09-26 |
| 1396975553 | Kellie Nicole Johnson | Nurse Practitioner | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2009-07-22 |
| Street Address |
1412 15TH ST |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588294169 | Purity Kimani | Licensed Vocational Nurse | 149 Col Etheredge Blvd, Huntsville, TX 77340-2380 | 2020-01-22 |
| 1073171682 | Stacey L Tubbs | Licensed Vocational Nurse | 558 Rosenwall Rd, Huntsville, TX 77320-7424 | 2019-05-30 |
| 1003391780 | Vicky Denise Mcgregor | Licensed Vocational Nurse | 1527 22nd St, Huntsville, TX 77340-5009 | 2018-09-28 |
| 1649761784 | Bernesha Nathiel Solomon | Licensed Vocational Nurse | 3321 Pine Grove Dr, Huntsville, TX 77340-8937 | 2018-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
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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.