SHANTAY M JOHNSON (NPI# 1093019531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093019531 |
| Entity Type | Individual |
| Full Name | SHANTAY M JOHNSON |
| Practice Address |
1624 Parkhaven Drive Seagoville TX 75159 |
| Mailing Address |
1624 Parkhaven Dr Seagoville TX 75159-2334 |
| Practice Telephone | 2816509130 |
| Mailing Telephone | 2816509130 |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2016-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
1624 PARKHAVEN DRIVE |
| City | SEAGOVILLE |
| State | TX |
| Zip Code | 75159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132540 | Coby Blake Pritchett | Specialist/Technologist | 820 Fm 1389 S, Combine, TX 75159 | 2018-01-18 |
| 1740796135 | Debra M Gulledge | Counselor | 301 W Malloy Bridge Rd., Seagoville, TX 75159 | 2017-12-20 |
| 1235665431 | Tiffany Monroe | Counselor | 3011 Graystone Ct, Seagoville, TX 75159 | 2017-05-08 |
| 1447708144 | Picasso Dental and Orthodontics Pllc | Dentist | 324 North Highway 175, Seagoville, TX 75159 | 2016-09-12 |
| 1265782049 | Melissa Ann Jones | Nurse Practitioner | 1005 Oak Hollow Lane, Combine, TX 75159 | 2012-09-19 |
| 1396024188 | Beverly M. Williams | Adult Companion | 1008 Elmo Drive, Seagoville, TX 75159 | 2011-08-10 |
| 1649399163 | Ruth Moseley | Physical Medicine & Rehabilitation | 10557 New Church Road, Dallas, TX 75159 | 2007-03-28 |
| 1558677161 | Tamara Antonino | Occupational Therapist | 2917 Briarbrook Dr, Seagoville, TX 75159-1447 | 2010-08-20 |
| 1215454921 | My Comfort Zone | Home Health | 2917 Briarbrook Dr, Seagoville, TX 75159-1447 | 2017-08-23 |
| 1336406693 | Total Being Counseling PC | Clinic/Center | 3005 Briarbrook Dr, Seagoville, TX 75159-1462 | 2012-04-11 |
| Find all providers in zip 75159 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841301 | D&z Primary Home Care, LLC. | Technician | 2808 E Pauline Ln, Edinburg, TX 78542-2101 | 2020-11-05 |
| 1194326355 | Emma O. Franco | Technician | 708 3rd Street, Ozona, TX 76943 | 2020-11-04 |
| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1881294494 | Ifeoma Anita Ojukwu | Technician | 10440 South Dr Apt 506, Houston, TX 77099-2809 | 2020-11-01 |
| 1932709979 | Shannon Vinson | Technician | 12118 Parade Park Place, Houston, TX 77047-3534 | 2020-10-29 |
| 1881293439 | April Kay Gonzalez | Technician | 613 Montreal Ct, Brownsville, TX 78526-5136 | 2020-10-23 |
| 1467050484 | Lrv Group | Technician | 1905 S Arden St, Harlingen, TX 78552-7461 | 2020-10-12 |
| 1902403645 | Jireh Healthcare Services LLC. | Technician | 3000 N Mccoll Rd Ste 6, Mcallen, TX 78501-1476 | 2020-10-06 |
| 1285231399 | Texas Primary Home Care LLC | Technician | 701 Hidden Trce, Weslaco, TX 78599-4054 | 2020-10-02 |
| 1508473091 | Cielito Lindo Primary Home Care LLC | Technician | 8012 W Expressway 83 Ste B, Mission, TX 78572-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SEAGOVILLE |
| Zip Code | 75159 |
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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.