KIM GRAHAM JOHNSON (NPI# 1831432665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831432665 |
| Entity Type | Individual |
| Full Name | KIM GRAHAM JOHNSON |
| Credential | M.D. |
| Practice Address |
932 Morreene Rd Rm 224 Durham NC 27705-4410 |
| Practice Telephone | 9196682879 |
| Practice Fax Number | 9196682901 |
| Mailing Telephone | 9196682879 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
193643 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
193643 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733361 | Kim Michele Johnson | Counselor | 536 Mark Ave, Vallejo, CA 94589-2029 | 2019-04-09 |
| 1821595067 | Kim Johnson | Technician | 319 Ingraham St Nw, Washington, DC 20011-6603 | 2018-04-12 |
| 1912410937 | Kim Johnson | Occupational Therapist | 5009 W 95th St Ste A, Oak Lawn, IL 60453-2401 | 2017-11-13 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1851739205 | Kim Johnson | Registered Nurse | 310 N Colonial Rdg, Moorestown, NJ 08057-1633 | 2013-06-07 |
| 1225338551 | Kim Renee Johnson | Counselor | 527 Bay Rd Ste 104, Queensbury, NY 12804-1430 | 2010-11-03 |
| 1609042787 | Kim Y Johnson | Licensed Practical Nurse | 2125 James St, Syracuse, NY 13206-3209 | 2008-05-07 |
| 1780686626 | Kim Edward Johnson | Anesthesiology | 200 Providence Rd Ste 101, Nash Anesthesia Associates, Charlotte, NC 28207-1437 | 2005-08-11 |
| 1528543444 | Kim Suzanne Johnson | Registered Nurse | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2018-09-26 |
| Street Address |
932 MORREENE RD RM 224 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710324389 | Kathy L. Niu | Psychiatry & Neurology | Duke South Clinic Psychiatry Department, Durham, NC 27710 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659562890 | Christine Denise Dittmer | Psychiatry & Neurology | 1407 Hillsborough St, 204, Raleigh, NC 27605-1828 | 2007-08-05 |
| 1932197647 | Jeffery James Fahs | Psychiatry & Neurology | 3 Lawton Ln, Salisbury, NC 28144-2970 | 2005-10-07 |
| 1144880436 | Smart Person LLC | Psychiatry & Neurology | 191 E Chestnut St, Asheville, NC 28801-2330 | 2019-06-18 |
| 1811450786 | Roanoke Valley Health Services Inc | Psychiatry & Neurology | 250 Smith Church Road, Roanoke Rapids, NC 27870 | 2019-04-09 |
| 1538569165 | Susan Vanmeter | Psychiatry & Neurology | 5 Moore Dr, Attn: 5.4600, Rtp, NC 27709-0143 | 2014-09-02 |
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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.