Shunta L Johnson (NPI# 1871027516, PAC ID# 1658642483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871027516 |
| PAC ID by PECOS | 1658642483 |
| Professional Enrollment ID | I20170811002108 |
| Full Name | Shunta L Johnson |
| Organization Legal Name | MERCY EAST AMBULATORY SERVICES LLC |
| Address |
11445 Olive Blvd Creve Coeur MO 63141-7108 |
| Phone Number | 3144289543 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365739240 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11445 Olive Blvd, Creve Coeur, MO 63141-7108 | 3144289543 | MERCY EAST AMBULATORY SERVICES LLC |
| 11155 Dunn Rd, 201n, Saint Louis, MO 63136-6149 | 3147411400 | RICK HUMMEL MD PC |
| Organization Legal Name | MERCY EAST AMBULATORY SERVICES LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha Lynn Waters | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Audrey M Heath | Nurse Practitioner | Mercy East Ambulatory Services LLC | 1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Rachel Landgraf | Nurse Practitioner | Mercy East Ambulatory Services LLC | 13275 Manchester Rd, Saint Louis, MO 63131-1748 |
| Chereka S Kluttz | Family Medicine | Mercy East Ambulatory Services LLC | 409 Lafayette Ctr, Manchester, MO 63011-3943 |
| Carl N Peters | Family Medicine | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Elizabeth Johnson | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Laura Marie Viero-dothage | Emergency Medicine | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Christy M Dyer | Nurse Practitioner | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Kristina H Flegel | Nurse Practitioner | Mercy East Ambulatory Services LLC | 409 Lafayette Ctr, Manchester, MO 63011-3943 |
| Julie R Irwin | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Street Address |
11445 OLIVE BLVD |
| City | CREVE COEUR |
| State | MO |
| Zip | 63141-7108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha Lynn Waters | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Elizabeth Johnson | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Laura Marie Viero-dothage | Emergency Medicine | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Julie R Irwin | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Amanda M Baldwin | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Beverly D Schneider | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Renee J Zesch | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Kurt Jaeger | Family Medicine | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Kristen L Scaggs | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Linda Therkildsen | Family Medicine | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | CREVE COEUR |
| Zip Code | 63141 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CREVE COEUR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shunta L Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.