CHANELLE M JOHNSON (NPI# 1689122640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689122640 |
Entity Type | Individual |
Full Name | CHANELLE M JOHNSON |
Credential | RN |
Practice Address |
217 Gateway Ln Columbia SC 29210-7452 |
Practice Telephone | 8038408832 |
Mailing Telephone | 8038408832 |
Enumeration Date | 2016-09-19 |
Last Update Date | 2016-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
219278 | SC | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417300823 | Chanelle Dre'onn Johnson | Counselor | 2121 W Temple St, Los Angeles, CA 90026-4915 | 2016-07-20 |
Street Address |
217 GATEWAY LN |
City | COLUMBIA |
State | SC |
Zip Code | 29210-7452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
Find all providers in zip 29210 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578185369 | Marion Johnson | Registered Nurse | 9633 Clocktower Ln, Columbia, MD 21046-1877 | 2020-05-14 |
1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
1871980763 | Bertha Ansley | Registered Nurse | 10775 Bridlerein Ter, Columbia, MD 21044-3650 | 2015-04-19 |
1356631022 | Henretta Nesbitt Milton | Registered Nurse | 105 Saddleridge Rd, Columbia, SC 29223-4245 | 2011-04-14 |
1427378157 | Nekesha Lashae Archie | Registered Nurse | 2020 Hampton St, 3rd Floor, Columbia, SC 29204-1002 | 2010-06-04 |
1750575338 | Fredrick J. Astle | Registered Nurse | 2638 Two Notch Road, Suite 110, Columbia, SC 29204 | 2007-08-28 |
1942330014 | Jason Matthew Tallman | Registered Nurse | 109 Kensington Pl, Columbia, TN 38401-8885 | 2007-03-06 |
1093878191 | Larry Randolph Jackson | Registered Nurse | 615 Rapids Rd, Columbia, SC 29212-3024 | 2006-12-19 |
1477629582 | Nancy Ragan Canaday | Registered Nurse | 2715 Colonial Drive, Columbia, SC 29203 | 2006-11-28 |
1720037872 | Priscilla L. Addison | Registered Nurse | 2715 Colonial Dr, Camhc, Columbia, SC 29203-6818 | 2006-05-08 |
Find all providers in COLUMBIA |
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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.