SHANE JOHNSON (NPI# 1508258567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508258567 |
| Entity Type | Individual |
| Full Name | SHANE JOHNSON |
| Practice Address |
927 Smith Ave Sw Canton OH 44706-1468 |
| Practice Telephone | 2343001630 |
| Mailing Telephone | 2343001630 |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-143859-M-IV | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740723303 | Shane Johnson | Counselor | 3447 Derby Pl, New Orleans, LA 70119-2013 | 2016-11-29 |
| 1548610041 | Shane Johnson | Occupational Therapist | 18480 W Port Royale Ln, Surprise, AZ 85388-7678 | 2016-06-15 |
| 1356803431 | Shane Johnson | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-04-05 |
| 1992053334 | Shane R Johnson | Pharmacist | 560 Gage Blvd, Suite 102, Richland, WA 99352-8650 | 2012-08-15 |
| 1306172507 | Shane P Johnson | Pharmacist | 208 E Jefferson St, Spring Green, WI 53588-8002 | 2009-10-22 |
| 1356523070 | Shane Johnson | Naturopath | 8010 E Mcdowell Rd Ste 111, Scottsdale, AZ 85257-3868 | 2007-12-04 |
| 1508923731 | Shane Johnson | Optometrist | 5403 W 88th Ave, Sp #45, Westminster, CO 80031-3084 | 2007-01-03 |
| 1275512543 | Shane Reed Johnson | Physician Assistant | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2006-01-13 |
| Street Address |
927 SMITH AVE SW |
| City | CANTON |
| State | OH |
| Zip Code | 44706-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741666 | Garfield Academy, Inc. | Local Education Agency (LEA) | 1379 Garfield Sw, Canton, OH 44706 | 2014-05-07 |
| 1982748414 | Total Living Center Free Clinic | Clinic/Center | 2221 9th St Sw Free Clinic, 2221 9th St Sw, Canton, OH 44706 | 2007-02-17 |
| 1649283631 | Rohit Prakash | Internal Medicine | 255 Dueber Ave Sw, Canton, OH 44706 | 2006-08-14 |
| 1114936119 | Cindi Renea Dagenhard | Licensed Practical Nurse | 2851 Highview Ave Sw, Canton, OH 44706 | 2006-08-07 |
| 1982018859 | Anne M Mccurdy | Counselor | 811 Faircrest St Sw, Canton, OH 44706 | 2014-06-18 |
| 1326459207 | Marla Mcvicker | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-05-14 |
| 1124440607 | Jade Thursia Fishburn | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-01-17 |
| 1962831685 | Quest Recovery and Prevention Services, Inc. | Community/Behavioral Health | 811 Faircrest Street Sw, Canton, OH 44706 | 2013-11-04 |
| 1124049663 | Michael L Yutzy | Family Medicine | 2600 6th St Sw, Canton, OH 44706 | 2006-07-21 |
| 1669818092 | Linda May May | Registered Nurse | 217 Harrison Ave Sw, Canton, OH 44706-1118 | 2013-05-13 |
| Find all providers in zip 44706 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1154937142 | Heather Anne Houston | Licensed Practical Nurse | 2416 9th St Sw, Canton, OH 44710-1807 | 2020-09-16 |
| 1184234494 | Regina M Cross | Licensed Practical Nurse | 230 Cayuga Ave Nw, Canton, OH 44708-5229 | 2020-08-03 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1386277945 | Travisha Lucius | Licensed Practical Nurse | 1610 Ohio Ave Ne, Canton, OH 44705-1847 | 2020-02-21 |
| 1689206914 | Sade Marie Bradford | Licensed Practical Nurse | 1515 Lippert Rd Ne, Canton, OH 44705-1319 | 2020-02-05 |
| 1326681545 | Tera Vance | Licensed Practical Nurse | 2120 Superior Ave Ne, Canton, OH 44705-2438 | 2019-10-21 |
| 1386293090 | Moshalai Jewell | Licensed Practical Nurse | 3517 12th St Sw, Canton, OH 44710-1503 | 2019-09-05 |
| Find all providers in CANTON | ||||
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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.