KIMBERLY JOHNSON (NPI# 1750866992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750866992 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOHNSON |
| Practice Address |
3030 Marcia Louise Dr Southaven MS 38672-6750 |
| Practice Telephone | 9016610159 |
| Mailing Telephone | 9016610159 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| 1134654759 | Kimberly Johnson | Dietitian, Registered | 110 E College St, Bozeman, MT 59715-5318 | 2017-04-21 |
| Street Address |
3030 MARCIA LOUISE DR |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305148 | Jessica Overstreet | Driver | 1147 Pat Luckett Rd, Canton, MS 39046-9102 | 2020-10-27 |
| 1730793688 | Sharon Gaddis | Driver | 3825 Mount Charity Rd, Carthage, MS 39051-8666 | 2020-09-08 |
| 1265066138 | Sarah Howard | Driver | 5880 Ridgewood Rd Apt H65, Jackson, MS 39211-2628 | 2020-02-28 |
| 1174160758 | Andrew James Rodgers | Driver | 104 Cherry Bark Way, Pearl, MS 39208-5542 | 2019-12-03 |
| 1023653839 | Frank Stovall | Driver | 716 W Georgetown St, Crystal Springs, MS 39059-2778 | 2019-11-15 |
| 1841835006 | Jessica Hearn Hudson | Driver | 403 Westview Ln, Columbus, MS 39705-8162 | 2019-11-12 |
| 1982252300 | Valarie White | Driver | 1305 N 7th Ave, Laurel, MS 39440-2201 | 2019-08-28 |
| 1548827405 | Sonya Jeaneanne Smith | Driver | 160 Broadway St Apt J4, Clinton, MS 39056-4840 | 2019-05-24 |
| 1225694490 | Daniel Scott Morgan | Driver | 5913 Bay Tree Rd, Ocean Springs, MS 39564-2202 | 2019-05-14 |
| 1952965840 | Labrintary Jackson | Driver | 119 Herman Johnson W, Indianola, MS 38751-3664 | 2019-04-25 |
| 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.