STEPHANIE ERIN JOHNSON (NPI# 1902458987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902458987 |
| Entity Type | Individual |
| Full Name | STEPHANIE ERIN JOHNSON |
| Credential | APRN FNP-C |
| Practice Address |
11203 Main St Martin KY 41649-7999 |
| Mailing Address |
Po Box 32 Hueysville KY 41640-0032 |
| Practice Telephone | 6062856400 |
| Mailing Telephone | 6067915131 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013597 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 University Dr Ste 208, Prestonsburg, KY 416531080 | 6068861202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214466 | Stephanie Suzanne Johnson | Nurse Practitioner | 3304 Tyler Ct, Lexington, KY 40509-1876 | 2020-08-09 |
| 1679108567 | Stephanie Johnson | Licensed Practical Nurse | 72 Norman St, East Orange, NJ 07017-3415 | 2020-03-11 |
| 1427681139 | Stephanie L Johnson | Counselor | 1325 S Colorado Blvd # B-108, Denver, CO 80222-3303 | 2020-02-20 |
| 1558992792 | Stephanie Jo Johnson | Nurse Practitioner | 106 Riggs Blvd, Bardstown, KY 40004-8067 | 2020-01-27 |
| 1487284485 | Stephanie Johnson | Assistant Behavior Analyst | 1641 Topeka Cir, Sparks, NV 89434-8866 | 2020-01-19 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1902466055 | Stephanie Aull Johnson | Occupational Therapy Assistant | 4611 Hard Scrabble Rd Ste 312, Columbia, SC 29229-8584 | 2019-06-19 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1710448477 | Stephanie Charisse Johnson | Counselor | 802 Eston St, Camarillo, CA 93010-4810 | 2019-03-26 |
| 1144784265 | Stephanie Dawn-marie Johnson | Midwife | 3 Maybrook St, Dorchester, MA 02121-4116 | 2019-01-23 |
| Street Address |
11203 MAIN ST |
| City | MARTIN |
| State | KY |
| Zip Code | 41649-7999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086176 | Saint Joseph Health System Inc | Emergency Medicine | 11203 Main St, Martin, KY 41649-7999 | 2005-07-11 |
| 1003468349 | Alison May | Occupational Therapist | 11203 Main St, Martin, KY 41649-7999 | 2019-07-16 |
| 1992357966 | Stephanie Janae Smith | Physical Therapy Assistant | 11203 Main St, Martin, KY 41649-7999 | 2019-07-10 |
| 1114408960 | Arh Mary Breckinridge Health Services, Inc. | Clinical Medical Laboratory | 11203 Main St, Martin, KY 41649-7999 | 2018-08-28 |
| 1952894826 | Arh Mary Breckinridge Health Services, Inc. | Family Medicine | 11203 Main St, Martin, KY 41649-7999 | 2018-06-14 |
| 1710470828 | Arh Mary Breckinridge Health Services, Inc. | Medicare Defined Swing Bed Unit | 11203 Main St, Martin, KY 41649-7999 | 2018-06-13 |
| 1306339460 | Arh Mary Breckinridge Health Services, Inc. | General Acute Care Hospital | 11203 Main St, Martin, KY 41649-7999 | 2018-06-12 |
| 1689165904 | Beaver Creek Emergency Group LLC | Physician Assistant | 11203 Main St, Martin, KY 41649-7999 | 2018-05-22 |
| 1891924320 | Saint Joseph Health System Inc | Clinic/Center | 11203 Main St, Martin, KY 41649 | 2009-07-06 |
| 1588717185 | Our Lady of The Way | Emergency Medicine | 11203 Main St, Martin, KY 41649-0910 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710531017 | Taylor Leigh Mcfadden | Dentist | 265 Ky Route 122, Suite 2, Martin, KY 41649 | 2019-07-25 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1962957431 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Route 122, Martin, KY 41649 | 2016-08-24 |
| 1174991962 | Charla Lynn Burgett | Pharmacist | 90 Triangle St., Martin, KY 41649 | 2015-09-10 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1578738944 | Floyd County Health Department | Public Health or Welfare | 481 Stephens Road, Martin, KY 41649 | 2008-04-28 |
| 1538333828 | Joshua Slone | Counselor | 11206 Main Street, Martin, KY 41649 | 2008-04-17 |
| 1073737722 | Susan Mayo Hamilton | Speech-Language Pathologist | 481 Stephens Branch Road, Martin, KY 41649 | 2007-04-12 |
| 1760528905 | Olin Andrew Elliott II | Dentist | 196 Ky Hwy 3188, Martin, KY 41649 | 2007-01-29 |
| Find all providers in zip 41649 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093905648 | Shannon Deal | Nurse Practitioner | University of Tn Martin Student Health Services, 609 Lee Street, Martin, TN 38238-0001 | 2007-07-30 |
| 1972596724 | Nancy Lu Jean Webb | Nurse Practitioner | 302 S First Ave, Martin, SD 57551-0550 | 2005-08-26 |
| 1083243042 | Lisa Ann Hall | Nurse Practitioner | Main Street, Martin, KY 41649 | 2020-04-02 |
| 1699255794 | Mark Vinson | Nurse Practitioner | 108 Courtright Rd, Martin, TN 38237-1607 | 2018-08-17 |
| 1740702257 | James Orville Music | Nurse Practitioner | 12579 Main Street, Martin, KY 41649 | 2017-07-17 |
| 1457885477 | Jennifer Franke | Nurse Practitioner | 109 Pugh St, Martin, SD 57551-7700 | 2017-04-17 |
| 1801193297 | Melissa Marie Reeves | Nurse Practitioner | 300 W Peach St, Martin, TN 38237-3949 | 2011-02-21 |
| 1497058606 | Morgan S Stone | Nurse Practitioner | 143 Kennedy Dr, Martin, TN 38237-3309 | 2010-12-09 |
| 1891908117 | Stefanie Lea Gray | Nurse Practitioner | 117 Kennedy Dr, Martin, TN 38237-3309 | 2007-05-07 |
| 1609856822 | Elizabeth Roberts | Nurse Practitioner | 300 W Peach St, Martin, TN 38237-3949 | 2006-01-23 |
| Find all providers in MARTIN | ||||
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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.