TYREYUN JOHNSON (NPI# 1427616960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427616960 |
| Entity Type | Individual |
| Full Name | TYREYUN JOHNSON |
| Practice Address |
235 Central Ave Edgard LA 70049-2533 |
| Practice Telephone | 5044131099 |
| Mailing Telephone | 5044131099 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
235 CENTRAL AVE |
| City | EDGARD |
| State | LA |
| Zip Code | 70049-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144754318 | Destani Comminie | Counselor | 487 Castle Dr., Edgard, LA 70049 | 2017-04-14 |
| 1215409388 | Renee Jones | Driver | 399 E 6th St, Edgard, LA 70049-2331 | 2018-12-29 |
| 1518431873 | Renee Faith | Non-emergency Medical Transport (VAN) | 399 E 6th St, Edgard, LA 70049-2331 | 2019-01-18 |
| 1750826467 | Jonah Borne | Counselor | 300 E 5th St, Edgard, LA 70049-2354 | 2017-01-04 |
| 1912354176 | Teche Action Board, Inc. | Clinic/Center | 2555 La Hwy 18, Edgard, LA 70049-2417 | 2016-05-18 |
| 1710334057 | Lakeitha Ervin | Counselor | 2555 La Highway 18, Edgard, LA 70049-2417 | 2016-05-17 |
| 1023193364 | Sherry A Aucoin | Nurse Practitioner | 2555 Highway 18, Edgard, LA 70049-2417 | 2006-10-26 |
| 1154368553 | Teche Action Board, Inc. | Clinic/Center | 159 E 3rd St, Edgard, LA 70049-2450 | 2006-06-02 |
| 1255938924 | Christa Culpepper | Physician Assistant | 159 E 3rd St, Edgard, LA 70049-2450 | 2020-10-06 |
| 1699046359 | Roxie Hill | Family Medicine | 159 E 3rd St, Edgard, LA 70049-2450 | 2012-01-25 |
| Find all providers in zip 70049 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982259644 | Tyronell Monique Davis | Prosthetist | 4066 Gibson St, New Orleans, LA 70122-1622 | 2019-08-08 |
| 1821550823 | Cheryl Marie Chesser | Prosthetist | 2151 9th St, Kenner, LA 70062-6774 | 2019-04-01 |
| 1083176085 | Brandy Larie Mcneal | Prosthetist | 3700 Lapalco Blvd, Harvey, LA 70058-2311 | 2019-04-01 |
| 1912495409 | Romekia Rachelle Freeman | Prosthetist | 750 E Laurel Ave, Eunice, LA 70535-3516 | 2018-04-30 |
| 1992849780 | Kevin Scott Campbell Sr. | Prosthetist | 722 Louisiana Ave, Bogalusa, LA 70427 | 2007-02-16 |
| 1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
| 1982126165 | Catherine Clark | Prosthetist | 2000 Louisiana Ave, New Orleans, LA 70115-5229 | 2017-07-10 |
| 1144473224 | Gaylord Collins | Prosthetist | 2495 Shreveport Hwy, Bld 2 Rm 242, Pineville, LA 71306-9004 | 2008-11-03 |
| 1346499647 | Josh Millet | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2008-09-11 |
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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.