JERELENE ELIZABETH JOHNSON (NPI# 1275658379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275658379 |
| Entity Type | Individual |
| Full Name | JERELENE ELIZABETH JOHNSON |
| Practice Address |
622 Powell Avenue Developmental Services Big Stone Gap VA 24219 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 2765230682 |
| Practice Fax Number | 2765230684 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
622 POWELL AVENUE DEVELOPMENTAL SERVICES |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144368408 | Nancy Young Giles | Case Manager/Care Coordinator | 622 Powell Avenue, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1790800704 | Susan Dianna Chandler | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1265557268 | Jennifer Lynn Main | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1891810982 | Regina Lynn Garrett | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1972628063 | Pamela Sue Wells | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1164547261 | Rebecca Sue Sluss | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1376668376 | Rebecca Naoma Carpenter | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1912021601 | Molly Ethel Edwards | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-19 |
| 1093853905 | Cassandra Anne Collins | Case Manager/Care Coordinator | 622 Powell Avenue, Big Stone Gap, VA 24219 | 2007-02-02 |
| 1760520720 | Shandolyn Gail Johnson | Case Manager/Care Coordinator | 622 Powell Avenue, Big Stone Gap, VA 24219 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770608796 | Jason Matthew Price | Technician, Other | 100 Laurel Ridge Road, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1770608770 | Virginia M Stokes | Technician, Other | 2532 Fourth Avenue East, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1427172105 | Patricia Ann Flinders | Technician, Other | 111 Woodstone, Big Stone Gap, VA 24219 | 2007-03-19 |
| 1487778288 | Catrina S Hall Gibson | Technician, Other | 100 Laurel Ridge, Polly Summit Group Home, Big Stone Gap, VA 24219 | 2007-03-19 |
| 1750405874 | Doris Jean Bishop | Technician, Other | 662 Powell Avenue, Developmental Service, Big Stone Gap, VA 24219 | 2007-03-16 |
| 1891819009 | Brandi Rhea Gordon | Technician, Other | 100 Laurel Ridge Rd, Big Stone Gap, VA 24219 | 2007-03-16 |
| 1891907762 | Lucy Faye Taylor | Technician, Other | 100 Laurel Ridge Dr, Pierce Mouse, Big Stone Gap, VA 24219 | 2007-05-04 |
| 1861617326 | Tabatha Sabrina Webb | Technician, Other | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2007-04-17 |
| 1386869154 | Edna Mae Winters | Technician, Other | 622 Powell Ave E, Big Stone Gap, VA 24219-2348 | 2007-04-16 |
| 1891919064 | Joyce C Gilbert | Technician, Other | 622 Powell Ave E, Big Stone Gap, VA 24219-2348 | 2007-04-12 |
| Find all providers in BIG STONE GAP | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
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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.