MRS. MARY BETH JOHNSON ARNP
NPI 1104085497
Nurse Practitioner in Davenport, IA
NPI Status: Active since June 03, 2008
Contact Information
2322 E KIMBERLY RD
DAVENPORT, IA
ZIP 52807
Phone: (563) 355-1853
Fax: (563) 359-1512
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
About MARY JOHNSON
This page provides the complete NPI Profile along with additional information for Mary Johnson, a provider established in Davenport, Iowa with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1104085497 assigned on June 2008. The practitioner's primary taxonomy code is 363L00000X with license number F-100600 (IA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1104085497
- Provider Name
- MRS. MARY BETH JOHNSON ARNP
- Other Name
- MISS MARY BETH LELONEK
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2322 E KIMBERLY RD DAVENPORT, IA 52807
- Location Phone
- (563) 355-1853
- Location Fax
- (563) 359-1512
- Mailing Address
- 2322 E KIMBERLY RD DAVENPORT, IA 52807
- Mailing Phone
- (563) 355-1853
- Mailing Fax
- (563) 359-1512
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-03-2008
- Last Update Date
- 08-20-2013
- Code Navigator
A nurse practitioner (NP) like Mary Johnson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F-100600
- License State
- IA
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver | MercyOne - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 8 | 5 | 4 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 8 | 10 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 8 + 1 + 0 + 4 + 1 + 8 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104085497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518931153 | DR. EUGENE L KERNS MD Individual | Obstetrics & Gynecology | 2322 E KIMBERLY RD DAVENPORT, IA 52807 (563) 355-1853 |
| 1548234859 | DR. DELOS D HANSEN MD Individual | Obstetrics & Gynecology | 2322 E KIMBERLY RD DAVENPORT, IA 52807 (563) 355-1853 |
| 1144296534 | DR. HAROLD L MIHM M.D. Individual | Obstetrics & Gynecology | 2322 E KIMBERLY RD SUITE 30W DAVENPORT, IA 52807 (563) 355-1853 |
| 1841367075 | MICHAEL R KRAMER AUDIOLOGIST Individual | Audiologist | 2322 E KIMBERLY RD PAUL REVERE SQUARE DAVENPORT, IA 52807 (563) 355-3332 |
| 1326186511 | DR. DAVID A. CHAVEZ DC Individual | Chiropractor | 2322 E KIMBERLY RD DAVENPORT, IA 52807 (563) 355-3815 |
| 1356477475 | DR. JAMES ANDREW LARSEN D.D.S. Individual | Dentist (General Practice) | 2322 E KIMBERLY RD SUITE 200W DAVENPORT, IA 52807 (563) 355-4544 |
| 1073649190 | DR. CAROLYN PETERS LARSEN D.D.S. Individual | Dentist (General Practice) | 2322 E KIMBERLY RD SUITE 200W DAVENPORT, IA 52807 (563) 355-4544 |
| 1790813368 | DR. ROBERT F. GODWIN M.D. Individual | Dermatology | 2322 E KIMBERLY RD SUITE N100 DAVENPORT, IA 52807 (563) 355-3376 |
| 1851623367 | ALLEN L DIERCKS DC PC Organization | Chiropractor | 2322 E KIMBERLY RD DAVENPORT, IA 52807 (563) 388-9492 |
| 1780966804 | NEW LIFE OUTPATIENT CENTER Organization | Community/Behavioral Health | 2322 E KIMBERLY RD STE. 200 NORTH DAVENPORT, IA 52807 (563) 355-0055 |
| 1750706909 | CHERYL KAY SHOVLAIN CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2322 E KIMBERLY RD SUITE 200 NORTH DAVENPORT, IA 52807 (563) 355-0055 |
| 1205251345 | COURTNEY HILL LCPC, CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2322 E KIMBERLY RD DAVENPORT, IA 52807 (563) 355-0055 |
| 1699913061 | NICOLE MARIE LUSZCZYK PA-C Individual | Physician Assistant (Medical) | 2322 E KIMBERLY RD STE 100N DAVENPORT, IA 52807 (563) 355-3376 |
| 1487672093 | DR. LEONARD L. WEISS D.C. Individual | Chiropractor | 2322 E KIMBERLY RD SUITE 120N DAVENPORT, IA 52807 (563) 324-2225 |
| 1871768242 | WEISS FAMILY CHIROPRACTIC Organization | Chiropractor | 2322 E KIMBERLY RD SUITE 120N DAVENPORT, IA 52807 (563) 324-2225 |
| 1043682875 | MARIA TERESE MENSTER MSE, IADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2322 E KIMBERLY RD STE. 200 NORTH DAVENPORT, IA 52807 (563) 355-0055 |
| 1740651579 | NEW LIFE OUTPATIENT CENTER Organization | Community/Behavioral Health | 2322 E KIMBERLY RD STE. 200 NORTH DAVENPORT, IA 52807 (563) 355-0055 |
| 1548235096 | DR. KIMBERLY ANN DIERCKS-OETZEL D.C. Individual | Chiropractor | 2322 E KIMBERLY RD DAVENPORT, IA 52807 (563) 359-0899 |
| 1992771695 | DR. ALLEN LEE DIERCKS D.C. Individual | Chiropractor | 2322 E KIMBERLY RD C 1 DAVENPORT, IA 52807 (563) 388-9492 |
| 1326176983 | ACCREDITED DERMATOLOGY ASSOCIATES, P.C. Organization | Dermatology | 2322 E KIMBERLY RD SUITE N100 DAVENPORT, IA 52807 (563) 355-3376 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104085497, enumerated in the NPI registry as an "individual" on June 03, 2008
The provider is located at 2322 E Kimberly Rd Davenport, Ia 52807 and the phone number is (563) 355-1853
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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