MRS. KATHLEEN SARAH JOHNSON (NPI# 1851374805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851374805 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN SARAH JOHNSON |
| Credential | PT |
| Practice Address |
587 Palm Canyon Dr Ste. 204 Borrego Springs CA 92004-2630 |
| Mailing Address |
Po Box 2630 Borrego Springs CA 92004-2630 |
| Practice Telephone | 7607674047 |
| Practice Fax Number | 7607674048 |
| Mailing Telephone | 7607674047 |
| Mailing Fax Number | 7607674048 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | PT9855 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4006834 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1083129613 | Kathleen Yezek Johnson | Speech-Language Pathologist | 4700 School Rd, Ringwood, IL 60072-9606 | 2017-12-05 |
| 1366966616 | Kathleen M Johnson | Registered Nurse | 3525 W Oxford Ave Unit G-2, Denver, CO 80236-3114 | 2017-07-28 |
| 1912433889 | Kathleen Johnson | Dietitian, Registered | 1635 Belt St, Baltimore, MD 21230-4705 | 2017-05-11 |
| 1700214392 | Kathleen Johnson | Nurse Practitioner | 30 E Huron St Apt 1002, Chicago, IL 60611-2742 | 2013-10-17 |
| 1942541503 | Kathleen Anne Johnson | Speech-Language Pathologist | 841 N Downs St Ste C, Ridgecrest, CA 93555-3380 | 2013-03-07 |
| 1386922441 | Kathleen O'hara Johnson | Internal Medicine | 6330 Riverdale Rd, Riverdale, GA 30274-1617 | 2011-07-23 |
| 1124310198 | Kathleen Theresa Johnson | Nurse Practitioner | 113 N Campbell Rd, Royal Oak, MI 48067-2345 | 2011-05-10 |
| 1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
| 1710165360 | Kathleen Mcgraw Johnson | Social Worker | 22800 Golfview Dr, Southfield, MI 48033-6648 | 2008-02-06 |
| Street Address |
587 PALM CANYON DR STE. 204 |
| City | BORREGO SPRINGS |
| State | CA |
| Zip Code | 92004-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821234857 | Frederick Reindel Smith | General Practice | 3324 Wagon Road, Borrego Springs, CA 92004 | 2008-12-22 |
| 1932212743 | Paul J. Califano | Podiatrist | 4343 Yaqui Pass Rd., Borrego Springs, CA 92004 | 2006-08-16 |
| 1932104841 | Borrego Springs Fire Protection District | Ambulance | 2324 Stirrup Rd, Borrego Springs, CA 92004 | 2005-06-16 |
| 1275809006 | Borrego Community Health Foundation | Clinic/Center | 590 Palm Canyon Drive, Suite 212, Borrego Springs, CA 92004 | 2012-03-27 |
| 1558549436 | Adamu Alhaji Tahiru | Physician Assistant | 4343 Yaqui Pass Road, Borrego Springs, CA 92004 | 2008-02-04 |
| 1043231715 | Pamela Thompson Mcevoy | Psychologist | 4343 Yaqui Pass Road, Borrego Springs, CA 92004-1198 | 2006-07-21 |
| 1013009497 | Ann Morton Nourse | Clinic/Center | 590 Palm Canyon Drive, Suite 203, Borrego Springs, CA 92004-2013 | 2006-09-29 |
| 1134149743 | Claudia Alise Baker-fortiner | Physical Therapist | 590 Palm Canyon Dr, Suite 203, Borrego Springs, CA 92004-2069 | 2006-07-20 |
| 1548325731 | Claudia Baker-fortiner, Pt | Clinic/Center | 590 Palm Canyon Drive, Suite #203., Borrego Springs, CA 92004-2069 | 2006-12-27 |
| 1093251910 | Borrego Community Health Foundation | Dentist | 590 Palm Canyon Dr., 212, Borrego Springs, CA 92004-2369 | 2017-01-17 |
| Find all providers in zip 92004 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324012 | Bailey Rose Medical Billing LLC | Contractor | 839 Fan Palm Ln, Brentwood, CA 94513-5680 | 2020-10-21 |
| 1245837566 | Irshad H Fardan | Contractor | 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 | 2020-10-09 |
| 1245838531 | Karen Strickland | Contractor | 3450 Sacramento St # 531, San Francisco, CA 94118-1914 | 2020-10-09 |
| 1831796879 | Laura Barker | Contractor | 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 | 2020-10-02 |
| 1477167054 | Jarib Takezhi Concilco Colin | Contractor | 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 | 2020-09-01 |
| 1609492289 | Neil Sankar | Contractor | 3610 Flora Vista Ave Apt 238, Santa Clara, CA 95051-3508 | 2020-06-19 |
| 1467077404 | Eric Avirett | Contractor | 1944 Bonita Ave, Berkeley, CA 94704-1038 | 2020-06-16 |
| 1699305805 | Sanjiv Ramdeo | Contractor | 710 Santa Susana St, Sunnyvale, CA 94085-3470 | 2020-01-16 |
| 1407498942 | Terry Lee Moffit | Contractor | 1165 W 15th St, San Bernardino, CA 92411-1811 | 2019-10-16 |
| 1538701693 | Ramin P Shirazi IIi | Contractor | 25411 Mina Ct, Lake Forest, CA 92630-5311 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
| City | BORREGO SPRINGS |
| Zip Code | 92004 |
Please comment or provide details below to improve the information on MRS. KATHLEEN SARAH 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.