Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508428301 Individual Practitioner Female Practitioner

Dr. Jessica Rae Johnson , MD

Pediatrics • Lawrence, KS

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Johnson, MD is a registered healthcare professional specializing in Pediatrics in Lawrence, KS. Practice services are available at 2415 MASSACHUSETTS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2415 Massachusetts St

Lawrence, KS 660464827

Telephone 7858324836
Fax 7858324887
Associated Practice Facility / Clinic
🏢 Haskell Indian Health Center Facility NPI 1700915782

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lawrence, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Lawrence, KS (431 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2019023994

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Rachel Smith , MD

Pediatrics - Adolescent Medicine

NPI 1013970979

Doctor of Medicine (M.D.)

Victoria Smith , LPN

Licensed Practical Nurse

NPI 1104062017

Licensed Practical Nurse

Jeremie Gregory , FNP

Nurse Practitioner - Family

NPI 1194175018

Family Nurse Practitioner

NPI 1205845104

Doctor of Pharmacy (Pharm.D.)

David Cornelius , RN

Registered Nurse - Ambulatory Care

NPI 1265575203

Registered Nurse

Audra Ashmore , RN

Registered Nurse - Ambulatory Care

NPI 1356484562

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 07, 2024

Registered at 2415 MASSACHUSETTS ST, LAWRENCE, KS 660464827 (Tel: 7858324836)

📍
Updated Practice Location January 05, 2023

Registered at 1455 E RIDGE RD, ROCHESTER, NY 146212006 (Tel: 5859222575)

📍
Updated Business Mailing Address January 05, 2023

Registered at 100 KINGS HWY S, ROCHESTER, NY 146175504 (Tel: 5859220527)

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 404 N KEENE ST, COLUMBIA, MO 652016626 (Tel: 5738824438)

📍
Updated Business Mailing Address July 01, 2019

Registered at 400 N KEENE ST, COLUMBIA, MO 652016626 (Tel: 5738824438)

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as JESSICA JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Pediatrics (License #2019023994 in MO)

🟢
Initial NPI Registration & Enumeration July 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508428301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: March 07, 2024
Sole Proprietor: No

Mailing Address

100 Kings Hwy S

Rochester, NY 146175504

Phone: 5859220527

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.