SALLIE JOHNSON (NPI# 1598103319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598103319 |
| Entity Type | Individual |
| Full Name | SALLIE JOHNSON |
| Credential | RN |
| Practice Address |
194 Wagon Wheel Dr Rex GA 30273-1444 |
| Practice Telephone | 7703890487 |
| Mailing Telephone | 7703890487 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN12135 | GA | Nursing Service Providers |
| Street Address |
194 WAGON WHEEL DR |
| City | REX |
| State | GA |
| Zip Code | 30273-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720246 | Never Forgotten Transportation | Non-emergency Medical Transport (VAN) | 6113 Heisler St, Rex, GA 30273 | 2017-10-03 |
| 1235668682 | Berthina Gaynell Weaver | Licensed Practical Nurse | 5820 Rex Ridge Loop, Rex, GA 30273 | 2017-06-08 |
| 1114399573 | Donnita Rountree | Counselor | 6297 Ellenwood Drive, Rex, GA 30273 | 2015-10-26 |
| 1811378433 | Jillian Simpson | Nurse's Aide | 6668 Biscayne Blvd, Rex, GA 30273 | 2015-06-10 |
| 1528478864 | Denise Elecia Lyn-bradley | Counselor | 156 Hayes Circle, Rex, GA 30273 | 2014-05-07 |
| 1699943936 | First Opportunity Home Healthcare,llc. | Home Health | 3113 Caliente Ln, Rex, GA 30273-1002 | 2008-02-20 |
| 1558370288 | Lynne D Scott | Marriage & Family Therapist | 6188 Highway 42, Rex, GA 30273-1028 | 2006-08-05 |
| 1538451083 | Ralph Bernard Willliams | Counselor | 6188 Highway 42, Rex, GA 30273-1028 | 2011-05-03 |
| 1780639518 | Jovans Pharmacy Corp | Pharmacy | 6001 Highway 42, Rex, GA 30273-1030 | 2006-05-23 |
| 1548560964 | Hope & Grace, LLC | Community Based Residential Treatment Facility, Mental Illness | 5860 Ronnie Dr, Rex, GA 30273-1060 | 2010-11-01 |
| Find all providers in zip 30273 | ||||
| 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 |
|---|---|---|---|---|
| 1235668682 | Berthina Gaynell Weaver | Licensed Practical Nurse | 5820 Rex Ridge Loop, Rex, GA 30273 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1609482140 | Antronette Darrell | Licensed Practical Nurse | 1578 Cherry Hill Rd Sw, Conyers, GA 30094-6835 | 2020-09-21 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
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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.