KEVIN WENDELL JOHNSON (NPI# 1942799002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942799002 |
| Entity Type | Individual |
| Full Name | KEVIN WENDELL JOHNSON |
| Credential | MD |
| Practice Address |
2698 Patterson Rd Ste 100 Grand Junction CO 81506-8211 |
| Practice Telephone | 9702982800 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
2698 PATTERSON RD STE 100 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-8211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103196 | John Nozykowski | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2018-05-03 |
| 1164044285 | Kirstin Maree Anderson Raguindin | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2020-05-12 |
| 1588284905 | Katherine Marie Dugan | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2020-04-27 |
| 1508487950 | Emily Lenherr | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2020-04-27 |
| 1023638673 | Douglas Poulton Mcphee | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2020-04-23 |
| 1245850387 | Travis Whitt Williams | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2020-04-18 |
| 1316437833 | Ryan Gillum | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
| 1679189831 | Mita White | Student in an Organized Health Care Education/Training Program | 2413 Brandys Ct, Grand Junction, CO 81507-1631 | 2020-09-22 |
| 1578177119 | Callen Marie Young | Student in an Organized Health Care Education/Training Program | 4 Merlot Ct, Grand Junction, CO 81507-1246 | 2020-09-01 |
| 1699389262 | Blythe Crow | Student in an Organized Health Care Education/Training Program | 551 Grand Ave Ste 304, Grand Junction, CO 81501-2694 | 2020-09-01 |
| 1255945895 | Emyleigh Opat | Student in an Organized Health Care Education/Training Program | 345 W Kennedy Ave Apt 12, Grand Junction, CO 81505-7192 | 2020-09-01 |
| 1245843085 | Brenna Ann Sanislo | Student in an Organized Health Care Education/Training Program | 3230 Beechwood St, Grand Junction, CO 81506-4833 | 2020-08-30 |
| 1134732076 | Keelin R Schaffrath | Student in an Organized Health Care Education/Training Program | 2753 Unaweep Ave, Grand Junction, CO 81503-2091 | 2020-08-29 |
| 1548873730 | Danielle Storm Pelletier | Student in an Organized Health Care Education/Training Program | 2237 N 20th St, Grand Junction, CO 81501-6707 | 2020-08-26 |
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1336797117 | Tiffany Dawn Petersen | Student in an Organized Health Care Education/Training Program | 2006 N 13th St, Grand Junction, CO 81501-8504 | 2019-08-26 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on KEVIN WENDELL 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.