MELODY JOHNSON


Address: 3303 Logan Dr, Herrin, IL 62948-3732
Phone: 6189935767

MELODY JOHNSON (NPI# 1730577966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730577966
Entity Type Individual
Full Name MELODY JOHNSON
Credential LPN
Practice Address 3303 Logan Dr
Herrin
IL 62948-3732
Mailing Address Po Box 155
Christopher
IL 62822-0155
Practice Telephone 6189935767
Mailing Telephone 6187242401
Enumeration Date 2014-12-22
Last Update Date 2014-12-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 043071418 IL Nursing Service Providers

Other Providers MELODY JOHNSON

NPI Name Taxonomy Address Enumeration
1962027425 Melody Johnson Social Worker 2401 Audubon Trce, Jefferson, LA 70121-1554 2020-06-10
1821397506 Melody Marquris Johnson Licensed Practical Nurse 2911 N 12th St, Milwaukee, WI 53206-2618 2011-03-21
1437396066 Melody L Johnson Massage Therapist 1201 Sw12th Ave, Suite 205, Portland, OR 97250 2009-01-20
1427271907 Melody Marie Johnson Physician Assistant 357 Wekiva Springs Rd, Longwood, FL 32779-3607 2007-04-11
1841803590 Melody Johnson Specialist/Technologist, Other 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 2020-08-24
1225652555 Melody Johnson Technician 2920 Clark Rd Spc 16b, Butte Valley, CA 95965-9140 2020-06-02
1215557095 Melody Kaye Johnson Adult Companion 2375 Nw Glisan St, Portland, OR 97210-3420 2020-04-21
1386295954 Melody B Johnson Physician Assistant 400 E 3rd St, Duluth, MN 55805-1951 2019-09-25
1740619436 Melody Johnson Nurse Practitioner 635 Eichenfeld Dr, Brandon, FL 33511-5908 2013-11-04

Office Location

Street Address 3303 LOGAN DR
City HERRIN
State IL
Zip Code 62948-3732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619956935 Paul J Cruz Obstetrics & Gynecology 3303 Logan Dr, Rea Clinic Herrin, Herrin, IL 62948 2006-01-13
1639718612 Tara Lynn Hartley Social Worker 3303 Logan Dr, Herrin, IL 62948-3732 2019-12-23
1831537901 Vicki Jo White-barry Licensed Practical Nurse 3303 Logan Dr, Herrin, IL 62948-3732 2013-06-11
1104137140 Sherry Michele Williams Internal Medicine 3303 Logan Dr, Herrin, IL 62948-3732 2010-06-24
1326102716 Rural Health, Inc Clinic/Center 3303 Logan Dr, Herrin, IL 62948-3732 2006-12-20
1700866381 Christopher Greater Area Rural Health Planning Corporation Obstetrics & Gynecology 3303 Logan Dr, Rea Clinic Herrin, Herrin, IL 62948-3732 2006-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215307590 Carmelito Miralles Caronongan Pediatrics 120 S. 11th St., Herrin, IL 62948 2015-09-30
1073995684 Motaz R Wraikat Preventive Medicine 315 S 13th St Ste 3, Herrin, IL 62948 2015-06-19
1639427933 Salim Hosein Surgery 317 S 14th St Ste 1, Herrin, IL 62948 2012-08-17
1962780288 Pooja Sareen Internal Medicine 3024 S Park Avenue, Herrin, IL 62948 2011-08-03
1235459918 Timoteo Castro Md & Josefina D. Castro Md Ltd Family Medicine 321 South 13st St., Herrin, IL 62948 2010-06-04
1457501926 Don Cassidy Arnold II Urology 220 S Park Ave Fl 2, Herrin, IL 62948 2008-09-22
1306094560 Karl Keith Mitchener Speech-Language Pathologist 1901 N 13th Street, Herrin, IL 62948 2008-08-29
1457509705 Kathryn Marie Bordenet-jines Occupational Therapy Assistant 1901 N. 13th, Herrin, IL 62948 2008-08-28
1417105776 Cheryl Lynn Matic Occupational Therapy Assistant 1901 N. 13th St., Herrin, IL 62948 2008-08-28
1174771422 Mary Frances Graham Physical Therapy Assistant 1901 N. 13th Street, Herrin, IL 62948 2008-08-28
Find all providers in zip 62948

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184138422 Stephanie Nichole Rafe Licensed Practical Nurse 201 S 17th St, Herrin, IL 62948-2203 2017-11-23
1245554757 Marilyn Rae Richardson Licensed Practical Nurse 767 Filmore Sq, Herrin, IL 62948-6467 2010-03-26
1780823955 Anmarie Holden Licensed Practical Nurse 609 S 14th St, Herrin, IL 62948-3805 2009-02-11
1396982377 Mark Zachary Smith Licensed Practical Nurse 605 S 19th St, Herrin, IL 62948-2305 2009-01-14
1831537901 Vicki Jo White-barry Licensed Practical Nurse 3303 Logan Dr, Herrin, IL 62948-3732 2013-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194330233 Candace D Younger Licensed Practical Nurse 507 Lickliter St, Benton, IL 62812-2219 2020-09-15
1063025781 Austin Grant Licensed Practical Nurse 205 Joplin St, Benton, IL 62812-2023 2020-08-24
1518570233 Titilayo Ayeni-sode Licensed Practical Nurse 23025 Amber Ln, Richton Park, IL 60471-1281 2020-08-24
1477164929 Monique L Lee Licensed Practical Nurse 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 2020-08-10
1619597291 Robin Wilson Licensed Practical Nurse 842 S 18th Ave, Maywood, IL 60153-1706 2020-04-23
1790319630 Krystle Ekhoff Licensed Practical Nurse 9108 S Troy Ave, Evergreen Park, IL 60805-1628 2020-03-01
1932732237 Robina Renee Williams Licensed Practical Nurse 16313 Turner Ave, Markham, IL 60428-5446 2020-02-15
1417589649 Lataunja Parese Weaver Licensed Practical Nurse 7436 S Ellis Ave, Chicago, IL 60619-2032 2020-02-05
1124667621 Jacquelyn Cooper Licensed Practical Nurse 230 N Lind Ave, Hillside, IL 60162-1538 2019-12-31
1699312587 Kristi Ann Pittman-spero Licensed Practical Nurse 101 N Jefferson Ave, Bradley, IL 60915-1829 2019-12-10
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Competitor

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City HERRIN
Zip Code 62948

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Dataset Information

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.

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