MRS. LAVERN BANKS JOHNSON (NPI# 1144546516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144546516 |
| Entity Type | Individual |
| Full Name | MRS. LAVERN BANKS JOHNSON |
| Credential | APN |
| Practice Address |
360 E Eh Crump Blvd Memphis TN 38126-5310 |
| Mailing Address |
360 E Eh Crump Blvd Memphis TN 38126-5394 |
| Practice Telephone | 9012612000 |
| Practice Fax Number | 9019469262 |
| Mailing Telephone | 9012612000 |
| Mailing Fax Number | 9019469262 |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 20905 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | WELLCARE | N1725089 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 6129052 | 01 |
| TN | Q032334 | 05 | |
| TN | TN LICENSE | 20905 | 01 |
| MS | 03472033 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 Atkins Blvd, Marianna, AR 723602113 | 8702955225 | |
| 6222 E Shelby Dr, Memphis, TN 38141 | 9018783274 | 9014924941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831479856 | Lavern Joy Johnson | Nurse Practitioner | 9210 Crescent Dr, Miramar, FL 33025-2428 | 2011-08-22 |
| Street Address |
360 E EH CRUMP BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38126-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530222 | Cheryl K Giles | Family Medicine | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2005-07-06 |
| 1477186476 | Joshua Mayberry | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-02-18 |
| 1871123364 | Andrea M. Patterson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-01-23 |
| 1215570189 | Raghu Damarla | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5394 | 2019-10-23 |
| 1003369109 | Tiffinie Wilson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2016-07-26 |
| 1578936803 | Jennifer Renee Tillery | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2015-11-09 |
| 1962838854 | Danielle Michelle Wright | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-09-24 |
| 1013359439 | Sheila Lynne Coleman-denton | Dentist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-07-26 |
| 1154663722 | Daria D Weathers | Social Worker | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-03-21 |
| 1295082022 | Juanita M Raines | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427287184 | Odessa A. Williamson | Social Worker | 694 Williams St., Memphis, TN 38126 | 2009-07-02 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1679797062 | Janice Rene Smith | Counselor | 427 Linden Avenue, Memphis, TN 38126 | 2007-04-13 |
| 1144236902 | Memphis Health Center, Inc. | Clinic/Center | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-08-01 |
| 1598989709 | Rhonda L. Mccloude | Counselor | 427 Linden Ave, Memphis, TN 38126 | 2007-04-12 |
| 1366502148 | Sharikia S Harris | Dentist | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-12-11 |
| 1316040447 | Memphis Health Center, Inc | Pharmacy | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-09-06 |
| 1275785537 | Odessa's Foster Care Home, Inc. | Foster Care Agency | 694 Williams, Memphis, TN 38126-0001 | 2008-10-17 |
| 1508072760 | Lamarcus Wingate | Student in an Organized Health Care Education/Training Program | 255 S Dunlap St # 230, Memphis, TN 38126-1801 | 2007-05-15 |
| 1437112026 | Dva Renal Healthcare Inc | Clinic/Center | 889 Dr Ml King Jr Ave, Memphis, TN 38126-1928 | 2006-04-06 |
| Find all providers in zip 38126 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| 1831702224 | Tennessee In-home Partner-iv, LLC | Nurse Practitioner | Sumner Medical Plaza, 300 Steam Plant Road, Suite 220, Memphis, TN 37066-3032 | 2020-08-26 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1780199786 | Shkendie Papraniku | Nurse Practitioner | 6005 Park Ave Ste 510, Memphis, TN 38119-5215 | 2017-12-12 |
| 1063926079 | Megan Lee Alexander | Nurse Practitioner | 877 Jefferson Ave Fl 2, Memphis, TN 38103-2807 | 2017-11-29 |
| 1427568260 | Miranda D White | Nurse Practitioner | 6027 Walnut Grove Rd Ste 114, Memphis, TN 38120-2115 | 2017-10-06 |
| 1184098956 | Mika Tralayne Jackson | Nurse Practitioner | 4075 S Lakewood Dr, Memphis, TN 38128-4401 | 2015-11-17 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| Find all providers in MEMPHIS | ||||
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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.