LYDIA JOHNSON (NPI# 1649679358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649679358 |
Entity Type | Individual |
Full Name | LYDIA JOHNSON |
Practice Address |
43825 Michigan Ave Canton MI 48188-2551 |
Practice Telephone | 7343973088 |
Practice Fax Number | 7344580078 |
Mailing Telephone | 7343973088 |
Mailing Fax Number | 7344580078 |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-09-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704156349 | MI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588218747 | Lydia Lajoyce Johnson | Licensed Vocational Nurse | 10610 Hwy 59 N, Woodlawn, TX 75694 | 2019-07-26 |
1679573745 | Lydia Jones Johnson | Dermatology | 9109 Stony Point Dr, Richmond, VA 23235-1979 | 2005-07-29 |
1225489461 | Lydia Johnson | Specialist/Technologist | 9200 University Blvd, North Charleston, SC 29406-9121 | 2016-06-29 |
1760833628 | Lydia Johnson | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2016-06-22 |
1255750626 | Lydia Zimmer Johnson | Registered Nurse | 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 | 2014-04-14 |
1194076604 | Lydia Johnson | Counselor | 20700 Watertown Rd, Suit 102, Waukesha, WI 53186-1800 | 2012-09-24 |
1699076398 | Lydia Johnson | Occupational Therapist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2010-11-11 |
Street Address |
43825 MICHIGAN AVE |
City | CANTON |
State | MI |
Zip Code | 48188-2551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841248176 | Julia Oliver | Counselor | 43825 Michigan Ave, Canton, MI 48188-2551 | 2006-05-05 |
1275130858 | Dawn Nichol Goldberg | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-10-06 |
1902411259 | Mamoona Hameed Khan | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-09-14 |
1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
1932710209 | Anthony J Dondero | Student in an Organized Health Care Education/Training Program | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-11 |
1881212777 | Michael Lee Rosewood | Social Worker | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-07-08 |
1104454537 | Chelsea Compton | Social Worker | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-03-31 |
1275169930 | Marcelle Schneider | Peer Specialist | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-03-13 |
1144855115 | Brandy Ann Chappell | Licensed Practical Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-03-10 |
1104458819 | Lindsey Anne Smith | Licensed Practical Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-02-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
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 |
1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
Find all providers in zip 48188 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
1427660596 | Larry Scott Fitzgerald | Registered Nurse | 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 | 2020-08-20 |
1932734167 | Bonny Jeanne Jarvis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-03-09 |
1013568633 | Vanessa Lynn Sanders | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2019-09-25 |
1184163669 | Karla Monte | Registered Nurse | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2017-02-17 |
1215383872 | Karen Maxon | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-05-12 |
1629438700 | Kathleen Coladonato | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-03-02 |
1477912582 | Kathleen Tawney | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-02-17 |
1861870727 | Terrie Batdorff | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2015-05-12 |
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.