KEVIN R JOHNSON (NPI# 1942760699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942760699 |
| Entity Type | Individual |
| Full Name | KEVIN R JOHNSON |
| Practice Address |
303 Hickory St Thibodaux LA 70301-2011 |
| Practice Telephone | 9854462936 |
| Mailing Telephone | 9854462936 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1295246585 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205384955 | Kevin Johnson Jr. | Community Health Worker | 1261 Roslyn Ave, Akron, OH 44320-3424 | 2016-09-12 |
| 1073949400 | Kevin William Johnson | Counselor | 1147 16th St N, St Petersburg, FL 33705-1104 | 2013-09-17 |
| 1669752200 | Kevin L Johnson | Pharmacist | 2600 S 48th St, Lincoln, NE 68506-2502 | 2011-08-26 |
| 1346536463 | Kevin Charles Johnson | Pharmacist | 747 Highway 259 North, Kilgore, TX 75662-5175 | 2011-06-27 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1558566588 | Kevin Charles Johnson | Speech-Language Pathologist | 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 | 2007-06-19 |
| Street Address |
303 HICKORY ST |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215860 | Alice J Moore | Registered Nurse | 303 Hickory St, Thibodaux, LA 70301-2011 | 2006-07-12 |
| 1851917462 | Sonya Jones Adkins | Behavioral Analyst | 303 Hickory St, Thibodaux, LA 70301-2011 | 2020-06-19 |
| 1588299341 | Leah Hood | Peer Specialist | 303 Hickory St, Thibodaux, LA 70301-2011 | 2020-03-11 |
| 1497386940 | Lydia Mittie Roberts | Social Worker | 303 Hickory St, Thibodaux, LA 70301-2011 | 2020-02-03 |
| 1720622137 | Sierra V Dennis | Case Manager/Care Coordinator | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-30 |
| 1043854524 | Jessica Marie Daniels | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-29 |
| 1275176737 | Rebecca Robichaux | Registered Nurse | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-28 |
| 1215579438 | Myeaka Rousseau | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-09 |
| 1104477728 | Lydia Smith | Licensed Practical Nurse | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-09-25 |
| 1679139620 | Jeffrey Myers | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911232 | Eriyanne Breshon Mollere | Case Manager/Care Coordinator | 106 Drew Ct Apt A, Thibodaux, LA 70301-8416 | 2020-08-03 |
| 1598267510 | Jennifer Schafer | Case Manager/Care Coordinator | 746 Goode St, Thibodaux, LA 70301-4712 | 2018-03-06 |
| 1528560703 | Kentrell Boyd | Case Manager/Care Coordinator | 1408 Tiger Dr, Thibodaux, LA 70301-4337 | 2018-03-05 |
| 1699204933 | Jazsmin Roundtree | Case Manager/Care Coordinator | 1400 Mlk Dr Apt 39, Thibodaux, LA 70301-4889 | 2017-06-09 |
| 1376141119 | Leah Woerner | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1669070330 | Brenda Sue Naquin | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1750989430 | Deszi Hill | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1306453337 | Kaitlyn Ordoyne | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-09-24 |
| 1750998787 | Alexis Voisin | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-09-24 |
| 1063024123 | Miranda Johnson | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-08-20 |
| Find all providers in THIBODAUX | ||||
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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.