TRACEY RAEANNE VANNETTE JOHNSON (NPI# 1932752474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932752474 |
| Entity Type | Individual |
| Full Name | TRACEY RAEANNE VANNETTE JOHNSON |
| Practice Address |
120 Meadowville Rd Chester VA 23836-2622 |
| Practice Telephone | 7702175913 |
| Practice Fax Number | 8005834953 |
| Mailing Telephone | 7702175913 |
| Mailing Fax Number | 8005834953 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1124528948 | Tracey Lynn Johnson | Social Worker | 284 Carlton Ave Apt 1, Brooklyn, NY 11205-4619 | 2018-02-19 |
| 1700246873 | Tracey Johnson | Early Intervention Provider Agency | 12410 S Aberdeen St, Calumet Park, IL 60827-5806 | 2016-03-02 |
| 1821245754 | Tracey Renae Johnson | Pharmacist | 108 W Hendry St, Hinesville, GA 31313-3232 | 2008-08-21 |
| 1063605749 | Tracey E. Johnson | Counselor | 2304 Rogate Cir, 303, Baltimore, MD 21244-5736 | 2007-08-25 |
| 1124168877 | Tracey L Johnson | Counselor | 6009 Squire Ct, #1, Memphis, TN 38115-3226 | 2007-02-08 |
| 1710024971 | Tracey L Johnson | Counselor | 1307 College St Se, Lacey, WA 98503-2332 | 2007-01-30 |
| 1659621423 | Tracey Johnson | Massage Therapist | 618 4th Ave, Suite 208, Bethlehem, PA 18018-5575 | 2012-09-19 |
| 1578828281 | Tracey Crew Johnson | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-07-09 |
| 1487748471 | Tracey Perry Johnson | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| Street Address |
120 MEADOWVILLE RD |
| City | CHESTER |
| State | VA |
| Zip Code | 23836-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609376086 | Sheila Hautbois | Physician Assistant | 228 Johnson Creek Dr., Chester, VA 23836 | 2018-02-13 |
| 1225466386 | Linda Hamilton | Pharmacist | 204 Thornhill Drive, Chester, VA 23836 | 2013-10-28 |
| 1124383161 | Salimata Keita | Home Health Aide | 13701 River Tree, Chester, VA 23836 | 2012-07-05 |
| 1003032541 | Goradia Orthopedics, Pllc | Clinic/Center | 281 East Hundred Rd, Chester, VA 23836 | 2007-04-17 |
| 1427181890 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 221 E. Hundred Road, Chester, VA 23836 | 2007-03-14 |
| 1598871659 | Tushar C Shah | Family Medicine | 13121 Rivers Bend Blvd, Chester, VA 23836 | 2006-08-22 |
| 1558382994 | Clifford Vincent Morris | Internal Medicine | 228 Johnson Creek Drive, Chester, VA 23836 | 2006-07-21 |
| 1891234886 | Sherika Adrian Jones | Nurse Practitioner | 221 E Hundred Rd, Chester, VA 23836 | 2017-02-23 |
| 1467734863 | Morris Cardiovascular and Risk Reduction Center PC | Internal Medicine | 228 Johnson Creek Drive, Chester, VA 23836 | 2011-09-13 |
| 1346881067 | Zenith Diagnostics, Inc. | Clinical Medical Laboratory | 13042 Rivers Bend Road, Chester, VA 23836-2383 | 2019-10-03 |
| Find all providers in zip 23836 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908313 | Angela M Moreau | Case Manager/Care Coordinator | 612 First Street, Chester, CA 96020-0797 | 2020-09-29 |
| 1205318870 | Amari Stewart | Case Manager/Care Coordinator | 505 Wilson St, Chester, PA 19013-2125 | 2018-08-30 |
| 1144681495 | Corrinthia Morris | Case Manager/Care Coordinator | 3506 Alderwood Way, Chester, VA 23831-6910 | 2016-03-15 |
| 1326436502 | Sharon Johnson | Case Manager/Care Coordinator | 12706 Parker Ln, Chester, VA 23831-5130 | 2014-12-22 |
| 1255644050 | Danielle Dior Smith | Case Manager/Care Coordinator | 2600 W. 9th Str, Chester, PA 19013 | 2010-07-21 |
| 1770183204 | Kenisha Fuller-jones | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-10-26 |
| 1427664945 | Gabby Hess | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-09-21 |
| 1174136428 | Marie E Robinson | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-08-26 |
| 1295346898 | Tarryn T Alston | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-08-17 |
| 1669083267 | Julia Marie Leonard | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-08-17 |
| Find all providers in CHESTER | ||||
Please comment or provide details below to improve the information on TRACEY RAEANNE VANNETTE 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.