MRS. KENDALL AMANDA JOHNSON (NPI# 1962785212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962785212 |
| Entity Type | Individual |
| Full Name | MRS. KENDALL AMANDA JOHNSON |
| Credential | PA-C |
| Practice Address |
5065 Pyramid Hwy Sparks NV 89436-7703 |
| Practice Telephone | 7757707664 |
| Mailing Telephone | 7757707664 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2012-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1295 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982856308 | Kendall Odell Johnson | Physical Therapist | 1024 Beech Tree Ln, Brentwood, TN 37027-7642 | 2008-10-16 |
| 1205331352 | Kendall Rae Johnson | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1972985091 | Kendall Johnson | Family Medicine | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2015-06-25 |
| 1932452422 | Kendall Johnson | Specialist | 4647 N 32nd St, Suite 185, Phoenix, AZ 85018-3345 | 2012-10-21 |
| 1316290059 | Kendall A Johnson | Social Worker | 275 First Street Ext, Springfield, GA 31329-0000 | 2012-10-18 |
| 1770873101 | Kendall R Johnson | Pediatrics | 282 Washington St, Medical Education, 4h, Hartford, CT 06106-3322 | 2011-04-19 |
| 1093028318 | Kendall Dewayne Johnson | Occupational Therapy Assistant | 744 The Rialto, Venice, FL 34285-3524 | 2010-07-15 |
| 1073659298 | Kendall M Johnson | Social Worker | 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 | 2007-01-29 |
| Street Address |
5065 PYRAMID HWY |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134276389 | Amber R Sands | Physician Assistant | 4868 Sparks Blvd Ste 102, Sparks, NV 89436-8161 | 2007-01-03 |
| 1801441530 | Abigail Osborne | Physician Assistant | 5265 Vista Blvd Bldg B, Sparks, NV 89436-0836 | 2019-08-08 |
| 1346670619 | Alicia C. Kilpatrick | Physician Assistant | 10 Fila Way, Suite 205, Sparks, MD 21152 | 2013-11-22 |
| 1720327869 | Cassie Ann Wellock | Physician Assistant | 1525 Los Altos Pkwy, Sparks, NV 89436-6692 | 2013-02-09 |
| 1265738660 | Lauren Joong-mee Dewlin | Physician Assistant | 10 Fila Way, Suite 205, Sparks, MD 21152-9452 | 2011-02-02 |
| 1730279886 | Caroline Harvey | Physician Assistant | 10 Fila Way, Ste. 205, Sparks, MD 21152-9452 | 2006-10-12 |
| 1871573915 | Deann Reynolds | Physician Assistant | 3160 Vista Blvd, Sparks, NV 89436-6703 | 2006-01-17 |
| 1316927452 | Brian Scott Lauf | Physician Assistant | 5070 Ion Dr, #a, Sparks, NV 89436-1675 | 2006-01-17 |
| 1194702571 | Douglas G Starley | Physician Assistant | 3160 Vista Blvd, Sparks, NV 89436-6703 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1396362422 | Jeffrey Lee Chapman | Physician Assistant | 7405 Bryan Canyon Rd, Washoe Valley, NV 89704-9588 | 2020-07-06 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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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.