CORDELL JOHNSON (NPI# 1770111940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770111940 |
| Entity Type | Individual |
| Full Name | CORDELL JOHNSON |
| Practice Address |
300 13th Ave W Ste 1 Dickinson ND 58601-4875 |
| Practice Telephone | 7012277500 |
| Practice Fax Number | 7012277575 |
| Mailing Telephone | 7012277500 |
| Mailing Fax Number | 7012277575 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
300 13TH AVE W STE 1 |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346759 | Dawn Stewart | Social Worker | 300 13th Ave W Ste 1, Dickinson, ND 58601 | 2005-12-09 |
| 1346864972 | Cartrena Watkins | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-05-29 |
| 1598387268 | Linette L Polensky | Registered Nurse | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-05-15 |
| 1598384539 | Merilyne Ruzvidzo | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-09 |
| 1508485681 | Sara A Slaughter | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-09 |
| 1881223790 | Sarah Makaka | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-02 |
| 1346878576 | Kayla Olheiser | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1932737137 | Mary Hodell | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1356979579 | Marilyn Marx | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1407484678 | Mariela Sanchez | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782404 | Gale S Graham | Technician, Other | 64 Palm Beach Rd, Dickinson, ND 58601-7302 | 2020-05-26 |
| 1346864972 | Cartrena Watkins | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-05-29 |
| 1598384539 | Merilyne Ruzvidzo | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-09 |
| 1508485681 | Sara A Slaughter | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-09 |
| 1881223790 | Sarah Makaka | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-02 |
| 1346878576 | Kayla Olheiser | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1932737137 | Mary Hodell | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1356979579 | Marilyn Marx | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1407484678 | Mariela Sanchez | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-03-31 |
| 1720616352 | Kim Imhoff | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-03-30 |
| Find all providers in DICKINSON | ||||
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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.