MRS. ANGELA JOHNSON (NPI# 1912951005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912951005 |
Entity Type | Individual |
Full Name | MRS. ANGELA JOHNSON |
Credential | FNP |
Practice Address |
438 E Vann Rd Suite 202 Greeneville TN 37743-7202 |
Mailing Address |
Po Box 37087 Baltimore MD 21297-3087 |
Practice Telephone | 4232781712 |
Practice Fax Number | 4232781703 |
Mailing Telephone | 8286875616 |
Mailing Fax Number | 8286508076 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2015-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RD100377 | TN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN6998 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 33485101 | 05 | |
NC | 7004058 | 05 | |
JOHN DEERE PROVIDER | TN0100 | 01 | |
BLUE CROSS PROVIDER | 4062794 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194336628 | Angela Jane Johnson | Nutritionist | 24 Revere Cir Apt 13, Jackson, TN 38305-3468 | 2020-08-10 |
1922624477 | Angela Patrice Johnson | Community Health Worker | 3509 Plaza Ridge Cir Apt 14b, Winston Salem, NC 27107-2774 | 2020-06-21 |
1487273827 | Angela Johnson Johnson | Social Worker | 24915 Thorndyke St, Southfield, MI 48033-2957 | 2020-04-15 |
1689145732 | Angela M Johnson | Technician, Other | 2820 E Flamingo Rd Ste C, Las Vegas, NV 89121-5212 | 2018-12-16 |
1750863817 | Angela A. Johnson | Social Worker | 5229 Mill Way, Stone Mountain, GA 30083-1641 | 2018-09-05 |
1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
1346749660 | Angela Johnson | Counselor | 7717 Edward St, New Orleans, LA 70126-1925 | 2018-02-02 |
1548772197 | Angela Octavia Johnson | Technician | 2319 Good Hope Ct Se Apt 103, Washington, DC 20020-3682 | 2017-11-03 |
1952832602 | Angela Johnson | Speech-Language Pathologist | 18250 Rhino Rd, Spiro, OK 74959-4720 | 2017-03-24 |
1013373612 | Angela L Johnson | Pharmacist | 620 Jefferson St Ne, Washington, DC 20011-2643 | 2016-01-12 |
Street Address |
438 E VANN RD SUITE 202 |
City | GREENEVILLE |
State | TN |
Zip Code | 37743-7202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285620781 | Beth Ann Bulawa | Surgery | 438 E Vann Rd, Suite 200, Greeneville, TN 37743-7202 | 2005-09-21 |
1255855474 | Wade T Tugman | Pharmacist | 438 E Vann Rd, Greeneville, TN 37743-7202 | 2017-07-30 |
1497145403 | Hannah Kirk | Physician Assistant | 438 E Vann Rd, Greeneville, TN 37743-7202 | 2015-01-28 |
1225451925 | Leah Ashley Balch | Nurse Practitioner | 438 E Vann Rd, Suite 202, Greeneville, TN 37743-7202 | 2014-01-31 |
1710239215 | Jessica Suzanne Bennett | Physician Assistant | 438 E Vann Rd, Suite 100, Greeneville, TN 37743-7202 | 2012-10-08 |
1760775365 | Valerie Mullins | Physician Assistant | 438 E Vann Rd, Suite 100, Greeneville, TN 37743-7202 | 2011-05-16 |
1083949077 | Arthur Belanger | Podiatrist | 438 E Vann Rd, Suite 301, Greeneville, TN 37743-7202 | 2009-10-08 |
1699968206 | Melissa Gaffney | Podiatrist | 438 E Vann Rd, Suite 301, Greeneville, TN 37743-7202 | 2007-08-27 |
1760687537 | Katherine Gray | Internal Medicine | 438 E Vann Rd, Suite 201, Greeneville, TN 37743-7202 | 2007-06-20 |
1760686711 | Candi Overholt | Internal Medicine | 438 E Vann Rd, Suite 201, Greeneville, TN 37743-7202 | 2007-06-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
Find all providers in zip 37743 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467084491 | Heather P Shelton | Nurse Practitioner | 1018 Sun Valley Vlg, Greeneville, TN 37745-6548 | 2020-02-07 |
1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
1770113136 | Jaime Lee Mcclellan | Nurse Practitioner | 545 Old Newport Hwy, Greeneville, TN 37743-3889 | 2020-01-24 |
1558991158 | Christopher Brian Gong | Nurse Practitioner | 1404 Tusculum Blvd Ste 300, Greeneville, TN 37745-4395 | 2020-01-22 |
1639637812 | Beverly Ann Mahler | Nurse Practitioner | 125 Hopeville Ave, Greeneville, TN 37745-6312 | 2019-03-07 |
1801379078 | Tammy Melissa Solomon | Nurse Practitioner | 204 N Cutler St, Greeneville, TN 37745-3846 | 2018-09-12 |
1255853040 | Christina L Birchfield | Nurse Practitioner | 1404 Tusculum Blvd Ste 2300, Greeneville, TN 37745-4329 | 2017-07-13 |
1265986400 | Kimberly Patterson | Nurse Practitioner | 809 Redbud Dr, Greeneville, TN 37743-6141 | 2016-08-04 |
1275911778 | Kimberly Hoyle | Nurse Practitioner | 1410 Tusculum Blvd Ste 2200, Greeneville, TN 37745-5822 | 2015-05-15 |
1902151616 | Haley D. Quillen | Nurse Practitioner | 2055 E Andrew Johnson Hwy Ste 3, Greeneville, TN 37745-4633 | 2012-07-18 |
Find all providers in GREENEVILLE |
City | GREENEVILLE |
Zip Code | 37743 |
Please comment or provide details below to improve the information on MRS. ANGELA 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.