TAWANTA L JOHNSON (NPI# 1881036432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881036432 |
| Entity Type | Individual |
| Full Name | TAWANTA L JOHNSON |
| Credential | ANP |
| Practice Address |
3957 Albers Pointe Dr Florissant MO 63034 |
| Mailing Address |
3957 Albers Pointe Dr Florissant MO 63034-1051 |
| Practice Telephone | 3149520931 |
| Mailing Telephone | 3149520931 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2012039515 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.010465 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015019142 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3957 ALBERS POINTE DR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596200 | True Heart Healthcare, LLC | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034-1051 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1679747364 | Marilyn La-vern Thompson | Social Worker | 14972 Afshari Circle, Florissant, MO 63034 | 2008-04-15 |
| Find all providers in zip 63034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930313 | Laronda M Cutts | Nurse Practitioner | 1250 Saint Louis St, Florissant, MO 63031-4837 | 2020-04-15 |
| 1003453028 | Alaina Kamkwalala | Nurse Practitioner | 14426 Jamestown Bay Dr, Florissant, MO 63034-1744 | 2019-12-10 |
| 1922567221 | Fatou Thiam | Nurse Practitioner | 2955 Willow Creek Estates Dr, Florissant, MO 63031-1665 | 2019-03-16 |
| 1891263190 | Joy Ugonma Ekenga | Nurse Practitioner | 1240 Saint Patrice Ln, Florissant, MO 63031-7926 | 2018-11-05 |
| 1194208736 | Deanna L Mcnulty | Nurse Practitioner | 18172 County Road 1, Florissant, CO 80816-9668 | 2018-09-10 |
| 1518440189 | Raishelle Lavette Willis | Nurse Practitioner | 2695 Mockingbird Ln, Florissant, MO 63031-3711 | 2018-09-10 |
| 1871027516 | Shunta Lavette Johnson | Nurse Practitioner | 385 Saint Edward Ln, Florissant, MO 63033-5460 | 2017-04-19 |
| 1609319144 | Jeanetta Stomer | Nurse Practitioner | 3391 N Highway 67, Florissant, MO 63033-1604 | 2016-12-01 |
| 1720466246 | Angela Skurat | Nurse Practitioner | 2650 Mockingbird Ln, Florissant, MO 63031-3712 | 2015-05-16 |
| 1306285986 | Samara Dalvinia Harrell | Nurse Practitioner | 1225 Graham Rd Ste C-2320, Florissant, MO 63031-8030 | 2013-06-18 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63034 |
Please comment or provide details below to improve the information on TAWANTA L 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.