ELIZABETH JOHNSON (NPI# 1982112819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982112819 |
| Entity Type | Individual |
| Full Name | ELIZABETH JOHNSON |
| Practice Address |
3165 Mckelvey Rd Ste 200 Bridgeton MO 63044-2550 |
| Mailing Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
| Practice Telephone | 3142063900 |
| Mailing Telephone | 3142063700 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | 00004535 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 634 N Main St Ste 4, O Fallon, IL 622693746 | 6187265870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1275169138 | Elizabeth Layla Johnson | Social Worker | 978 Dekalb Ave Apt 3, Brooklyn, NY 11221-6404 | 2020-03-22 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1174013957 | Elizabeth Johnson | Psychologist | 322 5th Ave Apt A, San Francisco, CA 94118-2310 | 2018-05-16 |
| 1245739937 | Elizabeth Anne Johnson | Specialist/Technologist | 900 Nw Bryant St, Pullman, WA 99163-3009 | 2018-02-08 |
| 1720591886 | Elizabeth Michele Johnson | Licensed Practical Nurse | 16 Dartmouth Rd, Highland Mills, NY 10930-2605 | 2017-11-13 |
| 1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
| 1619495934 | Elizabeth Johnson | Speech-Language Pathologist | 103 Briarbrook Dr, East Peoria, IL 61611-4474 | 2017-09-07 |
| 1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
| 1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
| Street Address |
3165 MCKELVEY RD STE 200 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962738211 | Paul Thomas Cotton | Social Worker | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2009-10-21 |
| 1023587060 | Angela E Esser | Student in an Organized Health Care Education/Training Program | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-11-20 |
| 1316415649 | Karl Potzmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-11-05 |
| 1790252351 | Imahn Wakefield | Social Worker | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-31 |
| 1447726815 | Garfield Duckett | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-23 |
| 1891261269 | Holly Shiels | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-23 |
| 1295201275 | Darion Alexander Baker | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-17 |
| 1780169995 | Destiny Mccain | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-03 |
| 1356826630 | Amy Nicole Studer | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-02 |
| 1417431867 | Tessa Anwar | Student in an Organized Health Care Education/Training Program | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033696885 | Amber Michelle Pruitt | Community Health Worker | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-07-24 |
| 1366959868 | Shyla Davon Times Mayes | Community Health Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2550 | 2018-01-05 |
| 1811401938 | Carrie Wessels | Community Health Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2550 | 2017-11-28 |
| 1760912893 | Kaitlyn Taylor Kristina Gotthardt | Community Health Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2550 | 2017-06-12 |
| 1811354236 | Kelty Lufcy | Community Health Worker | 3165 Mckelvey Rd, 200, Bridgeton, MO 63044-2550 | 2016-01-15 |
| 1477978112 | Vesta Roberts | Community Health Worker | 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044-2550 | 2014-03-04 |
| 1932524774 | Kylie Holtmeier | Community Health Worker | 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044-2550 | 2014-03-04 |
| 1023352218 | Kapris Benea Clark | Community Health Worker | 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044-2550 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098259 | Michelle Bradley | Community Health Worker | 3514 S Liberty St, Independence, MO 64055-3256 | 2020-03-13 |
| 1982239695 | Danielle Arlene Johnson | Community Health Worker | 265 Roderick Dr, Saint Louis, MO 63137-4560 | 2020-03-03 |
| 1457982167 | Lori A Mitchell | Community Health Worker | 1 Ballwin Commons Cir, Ballwin, MO 63021-8845 | 2020-01-31 |
| 1245878198 | James Henry Brown Jr. | Community Health Worker | 3544 Highland Ave, Kansas City, MO 64109-2564 | 2019-12-11 |
| 1093369597 | Passport Health Holdings, LLC | Community Health Worker | 901 E Saint Louis Street, Suite 107, Springfield, MO 65806-2574 | 2019-08-01 |
| 1801440318 | Passport Health Holdings, LLC | Community Health Worker | 5330 North Oak Trafficway, Suite 105, Kansas City, MO 64118-4600 | 2019-08-01 |
| 1245706399 | Candice Ward | Community Health Worker | 2200 N Highway 67 # 931, Florissant, MO 63033-9997 | 2018-10-16 |
| 1790250546 | Adrienne Downton | Community Health Worker | 4232 Troost Ave, Kansas City, MO 64110-1240 | 2018-10-08 |
| 1407339476 | Lakisha Redditt | Community Health Worker | 4978 Odell St, Saint Louis, MO 63139-1010 | 2018-09-14 |
| 1225516388 | Lawanda Hamilton | Community Health Worker | 1459 Coolidge Dr, Saint Louis, MO 63132-2627 | 2018-08-01 |
| 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.