REGINALD JOHNSON (NPI# 1902254477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902254477 |
| Entity Type | Individual |
| Full Name | REGINALD JOHNSON |
| Practice Address |
2409 W Pierce St Suite A Carlsbad NM 88220-3513 |
| Practice Telephone | 5758878925 |
| Practice Fax Number | 5758878935 |
| Mailing Telephone | 5758878925 |
| Mailing Fax Number | 5758878935 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-02926 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728447 | Reginald Johnson | Counselor | 7024 Woodside Dr, Indianapolis, IN 46260-3979 | 2018-01-19 |
| 1447706767 | Reginald Johnson | Social Worker | 1008 Clemmers Mill Rd, Schwenksville, PA 19473-1916 | 2016-08-28 |
| 1023483468 | Reginald Johnson | Student in an Organized Health Care Education/Training Program | 6901 S Harvard Ave, Chicago, IL 60621-3722 | 2015-12-10 |
| 1689941510 | Reginald Johnson | Counselor | 14203 Brangus Rd, Shawnee, OK 74804-3330 | 2011-11-21 |
| 1700853744 | Reginald A. Johnson | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2006-03-08 |
| 1780133140 | Reginald Johnson | Physical Therapist | 1315 Nw 21st Ave, Suite 3, Chiefland, FL 32626-1977 | 2016-09-27 |
| 1831564814 | Reginald Johnson | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2015-12-02 |
| 1700091691 | Reginald Antwan Johnson | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2007-05-14 |
| 1013049477 | Reginald Johnson | Counselor | 1270 Natividad Rd # 200, Salinas, CA 93906-3122 | 2007-03-12 |
| 1720136245 | Reginald A Johnson | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-01-08 |
| Street Address |
2409 W PIERCE ST SUITE A |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187921 | Lisa J Perkowski | Internal Medicine | 2409 W Pierce St, Carlsbad, NM 88220-3513 | 2005-10-12 |
| 1558550657 | Lisa J Perkowski Md PC | Allergy & Immunology | 2409 W Pierce St, Carlsbad, NM 88220-3513 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092460 | Jennifer Anne Tupper | Nurse Practitioner | 2420 W Pierce St Ste 100, Carlsbad, NM 88220-3517 | 2020-01-08 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1891252318 | Stacy Thompson | Nurse Practitioner | 3610 Village Dr Apt A, Carlsbad, CA 92008-3362 | 2019-02-21 |
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1689145278 | Angela Bidlack | Nurse Practitioner | 6438 Opal Way, Carlsbad, CA 92011-1241 | 2018-12-08 |
| 1548744899 | Li Li | Nurse Practitioner | 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 | 2018-09-22 |
| 1083120760 | Shannon L Roper | Nurse Practitioner | 110 S Halagueno St Ste 8, Carlsbad, NM 88220-5748 | 2017-12-18 |
| 1396259172 | Masoud Nadi | Nurse Practitioner | 5938 Priestly Dr Ste 102a, Carlsbad, CA 92008-8847 | 2017-12-01 |
| 1285144642 | Reagan Shea Leyva | Nurse Practitioner | 2402 W Pierce St Ste 2a, Carlsbad, NM 88220-3568 | 2017-10-11 |
| 1184152753 | Rica Elizabeth Davis | Nurse Practitioner | 6260 El Camino Real Ste 204, Carlsbad, CA 92009-1609 | 2017-05-26 |
| Find all providers in CARLSBAD | ||||
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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.