MRS. CANDY SUE JOHNSON


Address: 158 E Fulton St, Farmington, IL 61531-1227
Phone: 3092452416

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209-007187 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 7200613 01

Office Location

Street Address 158 E FULTON ST
City FARMINGTON
State IL
Zip Code 61531-1227

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City FARMINGTON
Zip Code 61531

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Dataset Information

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.

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