SUSAN JOHNSON (NPI# 1790173698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790173698 |
| Entity Type | Individual |
| Full Name | SUSAN JOHNSON |
| Credential | LPN |
| Practice Address |
2697 Hillside Heights Dr Green Bay WI 54311-6774 |
| Practice Telephone | 9204717976 |
| Mailing Telephone | 9204717976 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 314600 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1093291569 | Susan Patricia Johnson | Behavior Technician | 2062 Brookside Ln, Aurora, IL 60502-1369 | 2018-07-17 |
| 1396233094 | Susan Johnson | Advanced Practice Midwife | 2851 New Hartford Rd Ste B, Owensboro, KY 42303-1320 | 2018-04-27 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1366986986 | Susan Jean Johnson | Licensed Practical Nurse | 900 Owen Walters Blvd, Salina, OK 74365 | 2016-12-16 |
| 1386186518 | Susan Lynn Johnson | Pharmacist | 740 S Limestone St J134, Lexington, KY 40536-0001 | 2016-11-04 |
| 1235683889 | Susan Ly Johnson | Optometrist | 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | 2016-08-12 |
| 1205212347 | Susan Johnson | Home Health Aide | 13045 Stamford Ave, Warren, MI 48089-1350 | 2015-07-30 |
| 1346625480 | Susan Johnson | Massage Therapist | 1340 Boylston St Fl 3, Fenwy Health, Boston, MA 02215-4302 | 2015-07-29 |
| 1902218290 | Susan Johnson | Lactation Consultant, Non-RN | 2180 S 1300 E Ste 600, Parkview Plaza One, Salt Lake City, UT 84106-4462 | 2014-05-21 |
| Street Address |
2697 HILLSIDE HEIGHTS DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1407412125 | Melinda Sue Trinkner | Licensed Practical Nurse | 1012 Forest Hill Dr, Green Bay, WI 54311-5930 | 2019-05-17 |
| 1295295483 | Anna Lee Kolb | Licensed Practical Nurse | 1061 Kellogg St, Green Bay, WI 54303-2968 | 2019-03-22 |
| 1124515861 | Celia M Diehl | Licensed Practical Nurse | 2124 Orrie Ln, Green Bay, WI 54304-4345 | 2018-04-18 |
| 1366980583 | Peggy Stewart | Licensed Practical Nurse | 1547 Russell St, Green Bay, WI 54304-3013 | 2017-02-08 |
| 1114475712 | Amy Mueller | Licensed Practical Nurse | 1525 Rosalie Ln, Green Bay, WI 54304-2926 | 2016-09-13 |
| 1285021592 | Bobbi Schaetz | Licensed Practical Nurse | 2610 Gemini Rd, Green Bay, WI 54311-4610 | 2015-04-24 |
| 1619370178 | Paula Jean Boehm | Licensed Practical Nurse | 1663 Birchwood Dr, Green Bay, WI 54304-2936 | 2014-09-29 |
| 1518398999 | Rexann Hammons | Licensed Practical Nurse | 605 W Briar Ln, Apt 223, Green Bay, WI 54301-1367 | 2013-12-10 |
| 1700212255 | Jessica Barszcz | Licensed Practical Nurse | 3066 W Point Rd, Green Bay, WI 54313-5442 | 2013-09-16 |
| 1184064511 | Shawn B Backus | Licensed Practical Nurse | 2221 S Webster Ave Ste A160, Green Bay, WI 54301-2158 | 2013-06-30 |
| Find all providers in GREEN BAY | ||||
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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.