MS. ANDREA VIRETTA JOHNSON (NPI# 1083865208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083865208 |
| Entity Type | Individual |
| Full Name | MS. ANDREA VIRETTA JOHNSON |
| Credential | LPN |
| Practice Address |
13340 E Warren Ave Detroit MI 48215-2112 |
| Mailing Address |
13340 E. Warren Avenue Detroit MI 48215 |
| Practice Telephone | 3138226940 |
| Practice Fax Number | 3138226946 |
| Mailing Telephone | 3138226940 |
| Mailing Fax Number | 3138226946 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703054592 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827991 | Andrea Marita Johnson | Counselor | 639 N Shea Rd, Scottsburg, IN 47170-8132 | 2020-09-24 |
| 1912461955 | Andrea Johnson | Registered Nurse | 764 Bayard Ave, Saint Paul, MN 55102-4102 | 2019-01-23 |
| 1104398015 | Andrea M Johnson | Massage Therapist | 27 Sandy Creek Rd, Bridgton, ME 04009-4134 | 2018-12-18 |
| 1881165868 | Andrea N Johnson | Behavior Technician | 1001 Buccaneer Dr Apt 1, Schaumburg, IL 60173-5213 | 2018-12-17 |
| 1962902957 | Andrea G Johnson | Occupational Therapy Assistant | 7919 N 9th St, Tacoma, WA 98406-1095 | 2018-02-15 |
| 1851891139 | Andrea Maya Johnson | Midwife | 13236 111th Ct Ne, Kirkland, WA 98034-5306 | 2018-02-13 |
| 1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
| 1114478831 | Andrea Johnson | Specialist/Technologist | 500 South Navajo Dr, Page, AZ 86040 | 2016-10-18 |
| 1861866147 | Andrea Johnson | Licensed Practical Nurse | 21203 N Hart Pl, Detroit, MI 48220-2108 | 2015-11-24 |
| 1932581915 | Andrea Johnson | Behavioral Analyst | 3781 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2015-06-25 |
| Street Address |
13340 E WARREN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255410023 | Positive Images | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2006-11-03 |
| 1699259051 | Karen Elaine Osorio | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2018-09-21 |
| 1669988283 | Carla Sue Hurst-johnson | Peer Specialist | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2017-12-19 |
| 1548790199 | Anjanette Melissa Williams-kennedy | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2017-06-15 |
| 1497113609 | Tiyanna Macnear | Case Manager/Care Coordinator | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2016-02-02 |
| 1376927731 | Gwendolyn Crawford | Substance Abuse Rehabilitation Facility | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2015-07-16 |
| 1891178125 | Cherill Lynn Adams | Substance Abuse Rehabilitation Facility | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2015-07-06 |
| 1396981247 | Adam James | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
| 1740426691 | Beth Sacks | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
| 1578709424 | Asha Ravindran | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1518585504 | Lesley Dixon | Licensed Practical Nurse | 16668 Freeland St, Detroit, MI 48235-4500 | 2020-07-07 |
| 1720607237 | Nakesta Richardson | Licensed Practical Nurse | 9994 Bramell, Detroit, MI 48239-1304 | 2020-04-14 |
| 1962021477 | Torie Shatita Taylor | Licensed Practical Nurse | 22556 W Mcnichols Rd, Detroit, MI 48219-3140 | 2020-04-14 |
| 1689203499 | Tiffany Nicole Pierce | Licensed Practical Nurse | 8145 Greenfield Rd, Detroit, MI 48228-2220 | 2020-04-03 |
| 1750917118 | Stephanie Renee Williams | Licensed Practical Nurse | 8919 Prest St, Detroit, MI 48228-2200 | 2020-03-18 |
| 1417581299 | Valerie Adeyemi | Licensed Practical Nurse | 16559 Sorrento St, Detroit, MI 48235-4209 | 2020-03-02 |
| 1386276228 | Vikita Franklin | Licensed Practical Nurse | 16575 Snowden St, Detroit, MI 48235-4274 | 2020-02-09 |
| 1033749387 | Lachelle Mylinda Garrett | Licensed Practical Nurse | 18060 Gruebner St, Detroit, MI 48234-3854 | 2020-01-24 |
| Find all providers in DETROIT | ||||
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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.