MS. CHRISANDRA BEVERLY MICHELLE JOHNSON (NPI# 1871122721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871122721 |
| Entity Type | Individual |
| Full Name | MS. CHRISANDRA BEVERLY MICHELLE JOHNSON |
| Credential | LPN |
| Practice Address |
10023 Parkgate Ave Cleveland OH 44108-3329 |
| Practice Telephone | 2162784169 |
| Mailing Telephone | 2162784169 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 170318 | OH | Nursing Service Providers |
| Street Address |
10023 PARKGATE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44108-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
| 1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
| 1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
| 1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
| 1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
| 1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
| 1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
| 1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
| Find all providers in zip 44108 | ||||
| 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 |
|---|---|---|---|---|
| 1518573997 | Diane Goodwin | Licensed Practical Nurse | 16416 Huntmere Ave, Cleveland, OH 44110-1551 | 2020-09-21 |
| 1710593504 | Shareesah Michelle Bland | Licensed Practical Nurse | 5648 Hamlet Ave, Cleveland, OH 44127-1704 | 2020-09-17 |
| 1134733116 | Shanice Lattimore | Licensed Practical Nurse | 9700 Kempton Ave, Cleveland, OH 44108-2947 | 2020-09-07 |
| 1679184741 | Adoring Hearts Homecare Agency LLC | Licensed Practical Nurse | 18302 Harland Ave, Cleveland, OH 44119-2038 | 2020-08-12 |
| 1669082442 | Toniette Brown | Licensed Practical Nurse | 14108 Edgewood Ave # Up, Cleveland, OH 44128-1069 | 2020-08-05 |
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1851909949 | Kimberely T Newton | Licensed Practical Nurse | 1426 E 55th St, Cleveland, OH 44103-1308 | 2020-07-15 |
| 1639797202 | Jervonna Ashford | Licensed Practical Nurse | 881 E 73rd St, Cleveland, OH 44103-1787 | 2020-07-10 |
| 1962024604 | Jasmine Monique Pace | Licensed Practical Nurse | 5151 Ruble Ct, Cleveland, OH 44104-1316 | 2020-05-16 |
| 1629690599 | Nahtia D Stribling | Licensed Practical Nurse | 1904 E 71st St, Cleveland, OH 44103-4008 | 2020-05-13 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MS. CHRISANDRA BEVERLY MICHELLE JOHNSON.
| 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.