MARIE BENALLY JOHNSON (NPI# 1942579511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942579511 |
| Entity Type | Individual |
| Full Name | MARIE BENALLY JOHNSON |
| Credential | RN |
| Practice Address |
500 Indiana Ave Winslow AZ 86047-2169 |
| Practice Telephone | 9282896230 |
| Practice Fax Number | 9282896229 |
| Mailing Telephone | 9282896230 |
| Mailing Fax Number | 9282896229 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN136184 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104142645 | Marie R Johnson | Physician Assistant | 1810 U.S. Highway 82 W, Sherman, TX 75092-7069 | 2010-04-08 |
| 1982708426 | Marie N Johnson | Dentist | 618 S East Ave, Baltimore, MD 21224-3915 | 2006-09-12 |
| 1760491997 | Marie Elizabeth Johnson | Psychologist | 1010 Jorie Boulevard, Suite 246, Oak Brook, IL 60523-1234 | 2006-08-05 |
| 1649230723 | Marie Joyce Johnson | Occupational Therapist | 1100 E Boulevard Ave, Bismarck, ND 58501-4179 | 2006-03-24 |
| 1407497308 | Marie Johnson | Case Manager/Care Coordinator | 2800 Youree Dr Ste 482, Shreveport, LA 71104-3666 | 2019-10-01 |
| 1255997383 | Marie Elizabeth Johnson | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2019-05-14 |
| 1750868642 | Marie Kathleen Johnson | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2018-07-23 |
| 1932641701 | Marie Johnson | Dietitian, Registered | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-11-10 |
| 1508236308 | Marie Cooper Johnson | Counselor | 1010 N 9th St, Monroe, LA 71201 | 2015-10-06 |
| 1699157529 | Marie Elizabeth Johnson | Psychologist | 4650 W Sunset Blvd, Mailstop 53, Los Angeles, CA 90027-6062 | 2015-06-27 |
| Street Address |
500 INDIANA AVE |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912534 | Christian Jay Thompson | Optometrist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2005-06-21 |
| 1548886955 | Lily Chen | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-22 |
| 1528682929 | Jaeseong Park | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-01 |
| 1548881469 | Chadd Joseph Hiatt | Nurse Practitioner | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-05-01 |
| 1205465390 | Lindsay Dara Hughes | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-04-02 |
| 1588290514 | Matthew Lee | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-21 |
| 1669008082 | Deepa Patel | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-17 |
| 1104487222 | Alex Stanco | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-28 |
| 1881254423 | Kerry Lynn Cordier | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-17 |
| 1174182760 | Jorge Phillip Kinds | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396137204 | Charlotte Bynar | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2015-03-02 |
| 1144662404 | Levena Thompson | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2013-07-26 |
| 1043652308 | Benjamin Milanowski | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2013-07-26 |
| 1548601263 | Bridgette Cody | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2013-07-10 |
| 1992149736 | Leandra Elthie | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2013-04-23 |
| 1962751545 | David Yutaka Sullivan | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2012-08-29 |
| 1528315199 | Veronica Fuson | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2012-08-13 |
| 1932470861 | Clarissa Nez | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2012-01-24 |
| 1306116082 | Tashauna Papp | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2012-01-11 |
| 1821375601 | Allison Kay Dyer | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2011-11-08 |
| Find all providers in WINSLOW | ||||
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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.