CANDACE J JOHNSON (NPI# 1275166837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275166837 |
| Entity Type | Individual |
| Full Name | CANDACE J JOHNSON |
| Practice Address |
755 S Beckham Ave Tyler TX 75701-1903 |
| Practice Telephone | 9035344684 |
| Mailing Telephone | 9035344684 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 314255 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LVN | 341255 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841734100 | Candace Johnson | Specialist | 800 W Brevard St, Unit 1, Tallahassee, FL 32304-7839 | 2016-12-06 |
| 1811271406 | Candace Johnson | Nurse Practitioner | 12095 Steekee School Rd, Loudon, TN 37774-4565 | 2011-09-30 |
| 1831351964 | Candace Barlowe Johnson | Counselor | 2430 2nd Ave Sw, Hickory, NC 28602-2047 | 2008-06-30 |
| 1134392657 | Candace D. Johnson | Occupational Therapist | 7737 S Kingston Ave, Unit #1n, Chicago, IL 60649-4713 | 2008-04-04 |
| 1730162702 | Candace J Johnson | Pediatrics | 290 Country Club Dr Ste 140, Stockbridge, GA 30281-9094 | 2005-11-23 |
| 1700404118 | Candace Johnson | Social Worker | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-12 |
| 1255958351 | Candace Johnson | Audiologist | 1603 Medical Pkwy Ste 200, Cedar Park, TX 78613-7904 | 2020-07-06 |
| 1730711599 | Candace Snow Johnson | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-02-10 |
| 1649838731 | Candace Johnson | Behavior Technician | 26720 Ynez Ct, Temecula, CA 92591-4659 | 2019-06-03 |
| 1871062315 | Candace Amanda Johnson | Social Worker | 1301 Continental Dr Ste 101, Abingdon, MD 21009-2338 | 2018-11-14 |
| Street Address |
755 S BECKHAM AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457454415 | American Home Medical Services | Durable Medical Equipment & Medical Supplies | 755 S Beckham Ave, Tyler, TX 75701 | 2006-09-06 |
| 1891329678 | Perla Garrido | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-03-02 |
| 1427680982 | Emily Ann Phillps | Technician | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-12 |
| 1285266569 | Maria Isabel Rodriguez Mendez | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-05 |
| 1629609151 | Belva Hartsfield | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-03 |
| 1790315414 | Latifah Renee Watkins | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-22 |
| 1790315612 | Latrece Washington | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-20 |
| 1043840168 | Janet Arlene Williams | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-16 |
| 1972143303 | Andrea Garcia | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-14 |
| 1881234219 | Tina Gayle Wallace | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1942808522 | Ivie Massie | Licensed Vocational Nurse | 7101 Waljim St Apt 101, Tyler, TX 75703-4904 | 2020-10-15 |
| 1659978120 | Krescenda Bircher | Licensed Vocational Nurse | 641 Spencer Ln, Tyler, TX 75704-6667 | 2020-10-07 |
| 1932706157 | Pliar Nicole Roland | Licensed Vocational Nurse | 3201 Carter Blvd E, Tyler, TX 75702-1116 | 2020-10-01 |
| 1174130124 | Toni Ruth Quezada | Licensed Vocational Nurse | 11567 19th Ave, Tyler, TX 75708-3205 | 2020-09-24 |
| 1790399467 | Ashaunti Ahmee Njie | Licensed Vocational Nurse | 12418 Kara Lynn Pl, Tyler, TX 75704-8708 | 2020-09-01 |
| 1528671476 | Curnifa Fredrica Harris | Licensed Vocational Nurse | 5100 Sweetbriar Ln Apt 217, Tyler, TX 75703-3847 | 2020-08-28 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1891303715 | Jayla Michelle Ward | Licensed Vocational Nurse | 2815 Pollard Dr, Tyler, TX 75701-7112 | 2020-07-16 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| 1750908398 | Quanisha Hicks | Licensed Vocational Nurse | 1717 Shiloh Rd Apt 260, Tyler, TX 75703-2454 | 2020-06-30 |
| Find all providers in TYLER | ||||
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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.