EILEEN MARY JOHNSON (NPI# 1780741777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780741777 |
| Entity Type | Individual |
| Full Name | EILEEN MARY JOHNSON |
| Credential | NP |
| Practice Address |
4863 N Nevada Ave Second Floor Colorado Springs CO 80918-3951 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5101 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7192601821 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447837 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0003418-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
62306 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE NUMBER | CO 305289 | 01 |
| CO | 44857314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730582677 | Eileen Ann Johnson | Rehabilitation Practitioner | 4513 Lawndale Dr, Apt. F, Greensboro, NC 27455-1879 | 2014-10-07 |
| 1770990558 | Eileen Villanueva Johnson | Physical Therapist | 1640 Marengo St # St102, Los Angeles, CA 90033-1036 | 2014-07-14 |
| 1760854764 | Eileen Johnson | Social Worker | 555 Armory St, Boston, MA 02130-2652 | 2015-10-29 |
| 1487026845 | Eileen Johnson | Counselor | 11824 Southwest Hwy, Suite 230, Palos Heights, IL 60463-1055 | 2015-10-26 |
| 1730594607 | Eileen Johnson | Student in an Organized Health Care Education/Training Program | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1044 | 2014-06-30 |
| 1467723171 | Eileen C Johnson | Registered Nurse | 1626 Balltown Rd, Niskayuna, NY 12309-2304 | 2012-01-26 |
| 1407158009 | Eileen Mary Johnson | Physical Therapist | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2010-12-02 |
| 1912210071 | Eileen Elisabeth Johnson | Case Manager/Care Coordinator | 55 Fruit St, Boston, MA 02114-2621 | 2010-07-19 |
| 1669668398 | Eileen Johnson | Registered Nurse | 5410 Maryland Way, Brentwood, TN 37027-5064 | 2007-09-17 |
| 1780888495 | Eileen Ruth Johnson | Physical Therapist | 1450 Cloverfield Blvd, Santa Monica, CA 90404 | 2007-06-14 |
| Street Address |
4863 N NEVADA AVE SECOND FLOOR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136340 | Robert A. Cadigan | Internal Medicine | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2005-10-04 |
| 1700429198 | Patrick Murphy | Social Worker | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2019-10-18 |
| 1164933578 | Megan Mavety | Nurse Practitioner | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2017-10-12 |
| 1821510678 | Mary Ann Kates | Registered Nurse | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2017-07-13 |
| 1801331087 | University of Colorado At Colorado Springs | Dietitian, Registered | 4863 N Nevada Ave, Colorado Springs, CO 80918 | 2016-12-27 |
| 1245774876 | Nuwanee Kirihennedige | Dietitian, Registered | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2016-12-16 |
| 1477097137 | Frances Treat | Dietitian, Registered | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2016-12-14 |
| 1437582061 | Ursula Charlton | Social Worker | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2013-08-19 |
| 1982963633 | Lisa Hains Barker | Clinical Neuropsychologist | 4863 N Nevada Ave, Suite 380, Colorado Springs, CO 80918-3951 | 2012-05-15 |
| 1730446568 | Claire Mademann | Dietitian, Registered | 4863 N Nevada Ave, 136, Colorado Springs, CO 80918-3951 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1922607357 | Laura Evelyn Pettit | Nurse Practitioner | 7114 Selfridge St, Colorado Springs, CO 80916-5296 | 2020-10-16 |
| 1962011452 | Minuteclinic Diagnostic of Colorado LLC | Nurse Practitioner | 3475 N Academy Blvd, Colorado Springs, CO 80917-5166 | 2020-07-30 |
| 1760008999 | Ruth-ann N Umana | Nurse Practitioner | 3550 Plantation Grv, Colorado Springs, CO 80920-4830 | 2020-06-23 |
| 1376169763 | Shannon Graves | Nurse Practitioner | 4964 Bluestem Dr, Colorado Springs, CO 80917-1306 | 2020-06-22 |
| 1487270807 | Tammy Michelle Williams | Nurse Practitioner | 10212 Hannaway Dr, Colorado Springs, CO 80924-5320 | 2020-06-22 |
| 1154947836 | Roni-sue Ranae Westermeyer | Nurse Practitioner | 560 Hidden Cottage Grv, Colorado Springs, CO 80906-7777 | 2020-06-18 |
| 1952937906 | Brena Jonsan Branch | Nurse Practitioner | 5556 Prairie Schooner Dr, Colorado Springs, CO 80923-8771 | 2020-03-20 |
| 1235764390 | Serenity Clouds Family Practice Pllc | Nurse Practitioner | 13395 Voyager Pkwy Ste 446, Colorado Springs, CO 80921-7676 | 2020-03-10 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
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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.