MRS. TEWANNA RONIELLE JOHNSON (NPI# 1063660876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063660876 |
| Entity Type | Individual |
| Full Name | MRS. TEWANNA RONIELLE JOHNSON |
| Credential | R.N. |
| Practice Address |
1208 New Lodge Ct Antioch SD 37013-3618 |
| Mailing Address |
1208 Newlodge Ct Antioch TN 37013-5718 |
| Practice Telephone | 6158370675 |
| Practice Fax Number | 6158370675 |
| Mailing Telephone | 6158370675 |
| Mailing Fax Number | 6158370675 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
0000096892 | TN | Nursing Service Providers |
| Street Address |
1208 NEW LODGE CT |
| City | ANTIOCH |
| State | SD |
| Zip Code | 37013-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396083432 | Maame Amankwah | Registered Nurse | 1080 Blairfied Drive, Antioch, TN 37013 | 2013-01-24 |
| 1568966471 | John Wesley Green | Registered Nurse | 1915 D St, Antioch, CA 94509-2571 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565419 | Carol E Smith | Registered Nurse | 1623 Evergreen Dr, Rapid City, SD 57702-3454 | 2018-07-25 |
| 1285998021 | Jennifer Lea Huffman | Registered Nurse | 13085 Pony Express Dr, Piedmont, SD 57769-7105 | 2012-06-26 |
| 1144376518 | Leslie A Rowland | Registered Nurse | 320 S 3rd Ave, Suite B, Sioux Falls, SD 57104-5048 | 2007-01-26 |
| 1780201624 | Georgitte Gilman | Registered Nurse | 24276 166th Street, Eagle Butte, SD 57625 | 2020-06-26 |
| 1396230892 | Kodi Steckelberg | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2018-06-27 |
| 1578058079 | Emily Ascher | Registered Nurse | 1323 Bia Rt. 4, Fort Thompson, SD 57339-0200 | 2018-06-27 |
| 1710407911 | Danielle Prudich | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1407307028 | Amber Schoffelman | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2016-10-18 |
| 1326377763 | Karla J Hackett | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2009-12-14 |
| 1235283276 | Denise Badger | Registered Nurse | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
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| 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.