JOHNNY BRAGG (NPI# 1548776982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548776982 |
| Entity Type | Individual |
| Full Name | JOHNNY BRAGG |
| Practice Address |
1530 Saint Clair Ave Ne Cleveland OH 44114-2004 |
| Practice Telephone | 2167816724 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.356075 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | RN.356075 | 01 |
| Street Address |
1530 SAINT CLAIR AVE NE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44114-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025093 | Lisa Christine Navracruz | Family Medicine | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2005-07-06 |
| 1548813231 | Valarie Jean Gray | Family Medicine | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2019-07-22 |
| 1326555202 | Ashley Movens | Registered Nurse | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2018-01-02 |
| 1417474263 | Frank Thomas Rosen | Nurse Practitioner | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2017-08-23 |
| 1962873414 | Sarah Novak | Social Worker | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2015-10-09 |
| 1245637446 | Pamela Sue Kucklick | Counselor | 1530 Saint Clair Ave Ne, Care Alliance, Cleveland, OH 44114-2004 | 2014-12-03 |
| 1437554680 | Care Alliance | Clinic/Center | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2014-10-30 |
| 1649532235 | Waithaka Nganga Njihia | Dentist | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2012-06-11 |
| 1245596154 | Kimberly A Foley | Nurse Practitioner | 1530 Saint Clair Ave Ne, Care Alliance Health Center, Cleveland, OH 44114-2004 | 2012-04-04 |
| 1427366970 | Christina Marie Harris Stehouwer | Physician Assistant | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2010-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366136 | The Great House of Care LLC | In Home Supportive Care | 1536 St Clair Ave Suite 35, Cleveland, OH 44114 | 2020-01-29 |
| 1386286011 | Asian Services In Action, Inc | Clinic/Center | 2999 Payne Ave, Ste 140, Cleveland, OH 44114 | 2019-10-15 |
| 1881236560 | Fivestars Onlinecare | Internal Medicine | 850 Euclid Aveneue, Suite 1022, Cleveland, OH 44114 | 2019-10-14 |
| 1619462181 | Alternativemd, LLC | Chiropractor | 1374 E 36th St Ste 2801d, Cleveland, OH 44114 | 2018-06-27 |
| 1093237802 | Cle Medical & Rehabilitation LLC | General Practice | 1701 E 12th Street, Wg 240, Cleveland, OH 44114 | 2017-07-13 |
| 1780110502 | Katherine Rice | Occupational Therapist | 1111 Superior Ave E, Suite 1800, Cleveland, OH 44114 | 2017-05-11 |
| 1508212747 | Nicole Eggert | Social Worker | 1744 Payne Ave., Cleveland, OH 44114 | 2016-05-06 |
| 1043678097 | Serenity Now Healthcare, LLC | Home Health | 1736 St. Clair Ave., Cleveland, OH 44114 | 2016-02-05 |
| 1518343334 | Lauren D'lee Dicks | Social Worker | 1740 Payne Ave, Suite 190, Cleveland, OH 44114 | 2015-08-04 |
| 1598153744 | Sophie Kosem | Registered Nurse | 1111superior Ave Ceveland, Cleveland, OH 44114 | 2014-12-22 |
| Find all providers in zip 44114 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1982226114 | Victoria Markezic | Registered Nurse | 6626 Bliss Ave, Cleveland, OH 44103-1962 | 2020-05-11 |
| 1427687896 | Kevin Montross | Registered Nurse | 2092 State Route 49, Cleveland, NY 13308 | 2020-04-07 |
| 1285265421 | Katie Danielle Wade | Registered Nurse | 165 Lauren Dr Se, Cleveland, TN 37323-8244 | 2020-01-27 |
| 1154969640 | Manisha Kaur Singh | Registered Nurse | 3922 Whitman Ave, Cleveland, OH 44113-3227 | 2019-12-15 |
| 1952947053 | Monica Jenkins | Registered Nurse | 4201 E 178th St, Cleveland, OH 44128-2604 | 2019-11-23 |
| 1891339164 | Jake Racick | Registered Nurse | 16111 Larchwood Ave, Cleveland, OH 44135-1205 | 2019-10-30 |
| 1609427905 | Aisha Johnson | Registered Nurse | 629 Euclid Ave Apt 312, Cleveland, OH 44114-3032 | 2019-09-27 |
| 1497301196 | Charlisa Rochelle Latson | Registered Nurse | 11807 Hamlen Ave, Cleveland, OH 44120-1123 | 2019-08-18 |
| 1215582150 | Erika Hannigan | Registered Nurse | 18660 Bagley Rd Ste 102b, Cleveland, OH 44130-3483 | 2019-08-07 |
| 1467912980 | Tyrhonda Nicole Barnes | Registered Nurse | 3601 Germaine Ave, Cleveland, OH 44109-5042 | 2019-03-21 |
| Find all providers in CLEVELAND | ||||
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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.