PHILLIP GREGORY JOHNSON (NPI# 1760024111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760024111 |
| Entity Type | Individual |
| Full Name | PHILLIP GREGORY JOHNSON |
| Practice Address |
1308 N Leona St Appleton WI 54911-4232 |
| Practice Telephone | 9207301028 |
| Practice Fax Number | 9207309219 |
| Mailing Telephone | 9207301028 |
| Mailing Fax Number | 9207309219 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487035457 | Phillip Isaac Johnson | Dentist | 914 Pheasant Dr, Midlothian, TX 76065-6790 | 2015-06-15 |
| 1740624436 | Phillip D Johnson | Counselor | 821 W South St Ste F, Kalamazoo, MI 49007-4684 | 2013-04-24 |
| 1710185376 | Phillip W Johnson | Orthotist | 3635 S Main St, Suite A, Blacksburg, VA 24060-7019 | 2007-07-05 |
| 1164540142 | Phillip H Johnson | Dentist | 8000 Coit Rd Ste 200, Plano, TX 75025-6820 | 2007-03-27 |
| 1659356921 | Phillip M Johnson | Family Medicine | 800 Highlander Pt Dr, Ste 300, Floyds Knobs, IN 47119 | 2005-12-09 |
| 1134742109 | Phillip M. Johnson | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-05-25 |
| 1457824849 | Phillip Johnson | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2019-01-08 |
| 1083964761 | Phillip Ryan Johnson | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2012-09-11 |
| 1346566932 | Phillip Johnson II | Counselor | 4522 Fredericksburg Rd, Suite A-45, San Antonio, TX 78201-6521 | 2010-04-08 |
| 1184703464 | Phillip E Johnson | Optometrist | 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | 2006-11-06 |
| Street Address |
1308 N LEONA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561232 | Tamiqua Handschke | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-07-25 |
| 1891300315 | Cheyenne Leigh Janssen | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2020-09-11 |
| 1982214706 | Nicole Hecimovich | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2020-08-06 |
| 1548808090 | Jake Riffe | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-12-16 |
| 1285276998 | Kayla Marie Churchill | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-14 |
| 1639711781 | Kayleigh Brooke Pingel | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-10 |
| 1770124075 | Dana Elaine Schiessl | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218107 | Brenda Hoeper | Case Manager/Care Coordinator | 430 S Kensington Dr, Appleton, WI 54915-3392 | 2020-02-25 |
| 1013561232 | Tamiqua Handschke | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-07-25 |
| 1447803002 | Kolton Davidson | Case Manager/Care Coordinator | 3000 W Spencer St Apt B18, Appleton, WI 54914-4354 | 2019-07-22 |
| 1952876823 | Kim Blomster | Case Manager/Care Coordinator | 530 N Cambridge Dr, Appleton, WI 54915-2950 | 2018-10-08 |
| 1588849509 | Joann Marie Boisen | Case Manager/Care Coordinator | 308 W Wildplum Ct, Appleton, WI 54913-7169 | 2008-01-09 |
| 1891300315 | Cheyenne Leigh Janssen | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2020-09-11 |
| 1982214706 | Nicole Hecimovich | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2020-08-06 |
| 1801420286 | Jamee Guillory | Case Manager/Care Coordinator | 430 S Kensington Dr, Appleton, WI 54915-3392 | 2020-02-25 |
| 1548808090 | Jake Riffe | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-12-16 |
| 1285276998 | Kayla Marie Churchill | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-14 |
| Find all providers in APPLETON | ||||
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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.