ANGELA JO JOHNSON (NPI# 1982958229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982958229 |
| Entity Type | Individual |
| Full Name | ANGELA JO JOHNSON |
| Credential | APRN |
| Practice Address |
9340 Cedar Center Way Louisville KY 40291-4522 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5022398431 |
| Practice Fax Number | 5022398399 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3007832 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007832 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM - NICC | 000000819545 | 01 |
| KY | SIHO - NICC | 147633 | 01 |
| KY | 7100242780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336628 | Angela Jane Johnson | Nutritionist | 24 Revere Cir Apt 13, Jackson, TN 38305-3468 | 2020-08-10 |
| 1922624477 | Angela Patrice Johnson | Community Health Worker | 3509 Plaza Ridge Cir Apt 14b, Winston Salem, NC 27107-2774 | 2020-06-21 |
| 1487273827 | Angela Johnson Johnson | Social Worker | 24915 Thorndyke St, Southfield, MI 48033-2957 | 2020-04-15 |
| 1689145732 | Angela M Johnson | Technician, Other | 2820 E Flamingo Rd Ste C, Las Vegas, NV 89121-5212 | 2018-12-16 |
| 1750863817 | Angela A. Johnson | Social Worker | 5229 Mill Way, Stone Mountain, GA 30083-1641 | 2018-09-05 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1346749660 | Angela Johnson | Counselor | 7717 Edward St, New Orleans, LA 70126-1925 | 2018-02-02 |
| 1548772197 | Angela Octavia Johnson | Technician | 2319 Good Hope Ct Se Apt 103, Washington, DC 20020-3682 | 2017-11-03 |
| 1952832602 | Angela Johnson | Speech-Language Pathologist | 18250 Rhino Rd, Spiro, OK 74959-4720 | 2017-03-24 |
| 1013373612 | Angela L Johnson | Pharmacist | 620 Jefferson St Ne, Washington, DC 20011-2643 | 2016-01-12 |
| Street Address |
9340 CEDAR CENTER WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40291-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759138 | Joseph A. Milum | Family Medicine | 9340 Cedar Center Way, Louisville, KY 40291-4522 | 2005-06-10 |
| 1659453348 | Nadir Hanna Al-shami | Internal Medicine | 9340 Cedar Center Way, Louisville, KY 40291-4522 | 2006-10-20 |
| 1699759902 | Monica Carol Griffith | Nurse Practitioner | 9340 Cedar Center Way, Louisville, KY 40291-4522 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1497108278 | Andrea Herndon | Physician Assistant | 10710 Marceitta Ct, Louisville, KY 40291 | 2016-07-18 |
| 1033536602 | Jennifer Rose Fowler | Social Worker | 10300 Brookridge Villeage Blvd., Suite 104, Louisville, KY 40291 | 2014-03-21 |
| 1740602069 | Brittney Tatum | Licensed Practical Nurse | 9500 Glen Trace Ln, Louisville, KY 40291 | 2014-01-07 |
| 1326392895 | Lisa J Fetter | Nurse Practitioner | 6413 Bardstown Rd, Louisville, KY 40291 | 2012-11-05 |
| 1275829137 | Carolyn Estep Book | Counselor | 9612 Farmstead Lane, Louisville, KY 40291 | 2011-06-20 |
| 1023309028 | Julie Klein Hawkins | Pharmacist | 8014 Bardstown Rd., Louisville, KY 40291 | 2011-04-25 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1962548198 | Morgan Howard | Chiropractor | 5501 Bardstown Rd, Louisville, KY 40291 | 2007-01-29 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| Find all providers in zip 40291 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40291 |
Please comment or provide details below to improve the information on ANGELA JO 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.