MRS. CANDY SUE JOHNSON (NPI# 1922256775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922256775 |
Entity Type | Individual |
Full Name | MRS. CANDY SUE JOHNSON |
Other Name | MISS CANDY SUE WOLFORD |
Credential | APN |
Practice Address |
158 E Fulton St Farmington IL 61531-1227 |
Practice Telephone | 3092452416 |
Mailing Telephone | 3092452416 |
Enumeration Date | 2008-09-05 |
Last Update Date | 2010-08-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209-007187 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 7200613 | 01 |
Street Address |
158 E FULTON ST |
City | FARMINGTON |
State | IL |
Zip Code | 61531-1227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447800966 | Patricia Diden-staggs | Technician | 30 S Wall St, Farmington, IL 61531 | 2019-09-17 |
1164940482 | Carrie King | Speech-Language Pathologist | 145 N. Main, Farmington, IL 61531 | 2017-09-07 |
1831207349 | Jason G. Chamberlin | Internal Medicine | 601 E Fort St, Farmington, IL 61531-0380 | 2006-08-25 |
1447235601 | Spoon River Home Health Services, Inc. | Home Health | 48 N East St, Farmington, IL 61531-1213 | 2005-12-09 |
1801913256 | Shantha Murthy | Dentist | 138 E Fort St, Farmington, IL 61531-1219 | 2007-03-23 |
1588792147 | Kathy S Brown | Chiropractor | 23 E Vernon St, Farmington, IL 61531-1278 | 2007-03-02 |
1588974513 | Midwest Family Chiropractic PC | Chiropractor | 23 E Vernon St, Farmington, IL 61531-1278 | 2010-10-08 |
1821106345 | Nancy J Crouse | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-25 |
1841436268 | Graham Hospital Association | Family Medicine | 601 E Fort St, Farmington, IL 61531-1338 | 2009-01-07 |
1548378789 | Debra L Hayes | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-28 |
Find all providers in zip 61531 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699252270 | Holly Welch | Nurse Practitioner | 2300 E 30th St Ste B-106, Farmington, NM 87401-8991 | 2018-07-26 |
1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
1861915282 | Jesmi K Stanislavose | Nurse Practitioner | 18 Two Mile Rd, Farmington, CT 06032-2513 | 2017-07-18 |
1801265731 | Loc Nguyen | Nurse Practitioner | 316 Nh-11, Farmington, NH 03835 | 2015-09-22 |
1821106345 | Nancy J Crouse | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-25 |
1316053028 | Gina Heberlie | Nurse Practitioner | 508 W Pine St, Farmington, MO 63640-1426 | 2006-08-23 |
1548257090 | Peter A Ford | Nurse Practitioner | 11 South Rd Ste 130, Farmington, CT 06032-2483 | 2005-09-30 |
1700483930 | Sarah Jane Gadd | Nurse Practitioner | 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | 2020-10-01 |
1578183968 | Robert Bradley | Nurse Practitioner | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-04-26 |
1225661556 | Jesse Alexander Keele | Nurse Practitioner | 2930 E Main St, Farmington, NM 87402-7624 | 2020-02-14 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 61531 |
Please comment or provide details below to improve the information on MRS. CANDY SUE 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.