KIMBERLY SANDERS JOHNSON (NPI# 1821320656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821320656 |
| Entity Type | Individual |
| Full Name | KIMBERLY SANDERS JOHNSON |
| Credential | PA |
| Practice Address |
9430 Park West Blvd # 130 Knoxville TN 37923-4200 |
| Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
| Practice Telephone | 8656904861 |
| Practice Fax Number | 8655608252 |
| Mailing Telephone | 8656940062 |
| Mailing Fax Number | 8656947907 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA0000001820 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TEMPORARY PERMIT | TN | Physician Assistants & Advanced Practice Nursing 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 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 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 |
| Street Address |
9430 PARK WEST BLVD # 130 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383022 | Henry Grady Arnold Jr. | Otolaryngology | 9430 Park West Blvd, Ste 330, Knoxville, TN 37923-4203 | 2005-06-01 |
| 1487193074 | Katherine Stevenson Mcfalls | Audiologist | 9430 Park West Blvd, Suite 330, Knoxville, TN 37923-4200 | 2017-02-16 |
| 1235674110 | Kathryn Marton | Registered Nurse | 9430 Park West Blvd, Suite 130, Knoxville, TN 37923-4200 | 2016-12-30 |
| 1467841288 | Kalyn Bradford | Audiologist | 9430 Park West Blvd, Suite 330, Knoxville, TN 37923-4200 | 2015-01-16 |
| 1427464114 | Tennessee Orthopaedic Clinics PC | Orthopaedic Surgery | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2014-07-02 |
| 1417361049 | Mitchell J Reynolds | Physical Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2014-06-11 |
| 1285973362 | Olivia M Guthrie | Physician Assistant | 9430 Park West Blvd, Suite 110, Knoxville, TN 37923-4200 | 2013-02-08 |
| 1427393495 | Jennifer A. Pugh | Occupational Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2012-12-03 |
| 1780952887 | Nicole Kathleen Hawk | Audiologist | 9430 Park West Blvd, Suite 335, Knoxville, TN 37923-4200 | 2011-12-05 |
| 1447546544 | Lora Elizabeth Greene | Obstetrics & Gynecology | 9430 Park West Blvd, Ste. 320 Generations Ob/gyn -, Knoxville, TN 37923-4200 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
| 1952498420 | Charles Phillip Brandt | Physician Assistant | 101 E Blount Ave Ste 800, Knoxville, TN 37920-1669 | 2006-10-06 |
| 1184694713 | Melissa S Napier | Physician Assistant | 4713 Papermill Dr Ste 100, Knoxville, TN 37909-1924 | 2006-01-25 |
| 1407329923 | Sara Kaniper | Physician Assistant | 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 | 2019-01-08 |
| 1689126096 | Lauren Wicker | Physician Assistant | 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 | 2016-11-02 |
| 1952793135 | Mary Kathryn Massaro | Physician Assistant | 1934 Alcoa Hwy, Ste 362, Knoxville, TN 37920-1524 | 2015-02-25 |
| 1518239474 | Brian S. Powell | Physician Assistant | 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920-1509 | 2012-02-07 |
| 1902128812 | Stephanie Kelley Lezatte | Physician Assistant | 1932 Alcoa Hwy, Building C Suite 255, Knoxville, TN 37920-1527 | 2010-02-18 |
| 1366764276 | Nicholas Mark Baloga | Physician Assistant | 1932 Alcoa Hwy, Ste 360, Knoxville, TN 37920-1509 | 2010-02-18 |
| 1871640722 | Steven L Zurlinden | Physician Assistant | 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 | 2007-01-04 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on KIMBERLY SANDERS JOHNSON.
| 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.