Kara Lynn Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1150 Route 54 West
Clinton, IL 61727

Phone

(217) 935-2218

Fax

(217) 935-2788

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dewitt County Human Resource Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clinton, IL
  • NPI 1215160049
  NPD (past)
• Dewitt County Human Resource Center

  • Multi-Specialty Clinic/Center
  • Clinton, IL
  • NPI 1578600615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164569265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 E WHITMER ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213257",
            "telephone_number": "217-935-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROUTE 54 WEST",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "61727",
            "telephone_number": "217-935-2218",
            "fax_number": "217-935-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Clay Iden, LCSW
• Gregory Kirby Ingraham, MSW, LCSW
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path
• Jac Stores Inc
• James Jarman, PTA
• Kleeman Village
• Kari Kristine Klein, MS CCC SLP
• Subramaniam Kolandaivelu, M.D.
• Matthew L Komnick, P.T.
• Farrukh A Kureishy, MD

• All providers in Clinton, IL
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.