DOMINIC C JOHNSON (NPI# 1851858302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851858302 |
| Entity Type | Individual |
| Full Name | DOMINIC C JOHNSON |
| Practice Address |
2575 Westgate Bldg 2 Pendleton OR 97801-9613 |
| Mailing Address |
702 Sunset Dr Ontario OR 97914-3121 |
| Practice Telephone | 5412408030 |
| Practice Fax Number | 5414298777 |
| Mailing Telephone | 5418899167 |
| Mailing Fax Number | 5418897873 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696453 | Dominic Robert Johnson | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-07-20 |
| 1104393149 | Dominic Idris Johnson | Behavioral Analyst | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2018-10-29 |
| 1720308851 | Dominic Johnson | Internal Medicine | 877 W Faris Rd Ste B, Greenville, SC 29605 | 2010-06-11 |
| 1952314353 | Dominic A Johnson | Emergency Medicine | 736 Battlefield Blvd N, Chesapeake General Hospital, Chesapeake, VA 23320-4941 | 2006-08-15 |
| Street Address |
2575 WESTGATE BLDG 2 |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1386101749 | Tina M Miller | Nurse's Aide | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2019-02-21 |
| 1124535760 | Shanna Detrick | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2018-01-04 |
| 1891202420 | Emily Cecil | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2018-01-04 |
| 1588196414 | Piper Carstens | Case Manager/Care Coordinator | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2017-03-30 |
| 1427598044 | Trevor Prow | Social Worker | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2017-03-01 |
| 1982065199 | Katheryn Jo Ward | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-03-15 |
| 1689034043 | William D Morris | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1164029393 | Tina M Haynie | Nurse's Aide | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-10-01 |
| 1386101749 | Tina M Miller | Nurse's Aide | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2019-02-21 |
| 1639689565 | Lena Santos | Nurse's Aide | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2017-10-05 |
| 1134649650 | Heather Brown-lowry | Nurse's Aide | 46314 Timine Way, Pendleton, OR 97801-9417 | 2017-06-26 |
| 1477905347 | Sarah Whitney Sparks | Nurse's Aide | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2016-07-05 |
| 1457708224 | Kelsey R Thomas | Nurse's Aide | 46314 Timine Way, Pendleton, OR 97801 | 2016-05-20 |
| 1689029019 | Debra L Berry | Nurse's Aide | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2016-05-04 |
| 1033536651 | Sharman Sams | Nurse's Aide | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2014-03-20 |
| 1619298437 | Rena I Cochran | Nurse's Aide | 73265 Confederated Way, Pendleton, OR 97801-0160 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847397 | Corina Tudorache Arneson | Nurse's Aide | 14725 Se Rhone St, Portland, OR 97236-2556 | 2019-12-04 |
| 1518528694 | Jennifer Ann Ryan | Nurse's Aide | 4380 Sw Macadam Ave Ste 530, Portland, OR 97239-6408 | 2019-06-27 |
| 1891220463 | Elena Zadniprovskiy | Nurse's Aide | 3535 N Haight Ave, Portland, OR 97227-1323 | 2017-04-20 |
| 1710339635 | Alexander Shybut | Nurse's Aide | 6935 N Richmond Ave, Portland, OR 97203-4933 | 2016-07-02 |
| 1457719387 | Ashlie Marie Paradis | Nurse's Aide | 5436 Burbank St N, Keizer, OR 97303-7621 | 2016-02-06 |
| 1396149779 | Marija Ducis | Nurse's Aide | 234 Little Valley Rd, Roseburg, OR 97471-9114 | 2014-10-14 |
| 1689078305 | Kara Hall | Nurse's Aide | 134 W Berdine St, Roseburg, OR 97471-2201 | 2014-10-09 |
| 1245639921 | Joann Owen | Nurse's Aide | 9300 Se Liebe St, Portland, OR 97266-2730 | 2014-08-19 |
| 1497167365 | Anthony Hernandez | Nurse's Aide | 538 N 33rd St, Springfield, OR 97478-5842 | 2014-05-28 |
| 1376891911 | Miranda Beth Socia | Nurse's Aide | 21602 Se Alder St, Gresham, OR 97030-2435 | 2012-08-28 |
| 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.