RANDY JOHNSON (NPI# 1053958736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053958736 |
| Entity Type | Individual |
| Full Name | RANDY JOHNSON |
| Practice Address |
3221 Gina Drive Memphis TN 38118 |
| Practice Telephone | 9018460747 |
| Mailing Telephone | 9018460747 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041065 | Randy Lee Johnson | Contractor | 824 9th St N, Sartell, MN 56377-2248 | 2011-06-22 |
| 1871716225 | Randy Johnson | Dentist | 3053 Freedom Dr, Charlotte, NC 28208-3859 | 2007-04-11 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1295843795 | Randy Roy Johnson | Chiropractor | 10600 South Ave, Chisago City, MN 55013-9577 | 2006-08-26 |
| 1417970971 | Randy Johnson | Specialist/Technologist | 5150 Farna Ave, Arcadia, CA 91006-5966 | 2006-07-25 |
| 1972581957 | Randy Gordon Johnson | Pharmacist | 34617 Se 56th Pl, Fall City, WA 98024-8806 | 2006-01-09 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1073787677 | Randy M Johnson | Physician Assistant | 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | 2008-04-15 |
| 1629247317 | Randy Johnson | Prosthetic/Orthotic Supplier | 405 Parkway, Suite G, Greensboro, NC 27401-1308 | 2008-02-27 |
| 1508035189 | Randy Lee Johnson | Durable Medical Equipment & Medical Supplies | 117 E Main St, Dundee, FL 33838-4219 | 2008-02-27 |
| Street Address |
3221 GINA DRIVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| 1891917571 | Memphis Long Term Care Specialty Hospital, LLC | Long Term Care Hospital | 3391 Old Getwell Road, Memphis, TN 38118 | 2007-05-03 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1871131037 | Cassandra Jean Cowans | Technician | 3106 Harris Ave, Memphis, TN 38114 | 2019-12-18 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1851937791 | Phyllis Person | Technician | 292 Modder Ave, Memphis, TN 38109 | 2019-11-26 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1760026488 | Clara Smith | Technician | 3192 Walnut Grove Rd, Memphis, TN 38111-3637 | 2019-11-06 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1477050557 | Brandy Harris | Technician | 4518 Hickory Branch Dr, Memphis, TN 38141-7607 | 2018-04-06 |
| 1568858025 | Carlton Phillips | Technician | 4692 Tut Cv, Memphis, TN 38128-1487 | 2015-04-11 |
| 1912324674 | Consumer Home Healthcare Agency | Technician | 3340 Poplar Ave Ste 201, Memphis, TN 38111-4680 | 2014-03-19 |
| Find all providers in MEMPHIS | ||||
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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.