CAROLYN JOHNSON (NPI# 1093215543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093215543 |
| Entity Type | Individual |
| Full Name | CAROLYN JOHNSON |
| Practice Address |
2310 Buck Dr Tyler TX 75701-2406 |
| Mailing Address |
755 S Beckham Ave Tyler TX 75701-1903 |
| Practice Telephone | 9032167229 |
| Mailing Telephone | 9035344684 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 074266 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918235 | Carolyn Ann Johnson | Counselor | 15362 E 12th St, Tulsa, OK 74108-4710 | 2020-10-01 |
| 1174171003 | Carolyn Elizabeth Johnson | Speech-Language Pathologist | 12375 Aden Rd, Nokesville, VA 20181-2320 | 2019-09-04 |
| 1013565183 | Carolyn Lee Johnson | Nurse's Aide | 166b Smokey Rdg, Onalaska, WA 98570-9452 | 2019-08-30 |
| 1114482569 | Carolyn Johnson | Nurse Practitioner | 13462 Hwy 110 N, Tyler, TX 75704-2444 | 2019-02-08 |
| 1669975587 | Carolyn S Johnson | Registered Nurse | 1027 French Rd, Indianola, MS 38751-9605 | 2018-03-16 |
| 1043763485 | Carolyn Johnson | Occupational Therapist | 9241 Vendome Dr, Bethesda, MD 20817-4029 | 2016-08-02 |
| 1780097873 | Carolyn Johnson | Home Health Aide | 113 Stone Dr, Anderson, SC 29625-2710 | 2014-06-05 |
| 1124392410 | Carolyn Amanda Johnson | Licensed Practical Nurse | 422 E 35th St, Brooklyn, NY 11203-5010 | 2012-03-03 |
| 1912282153 | Carolyn J Johnson | Pharmacist | 3184 London Rd, Eau Claire, WI 54701 | 2011-10-19 |
| 1134417280 | Carolyn Ilene Johnson | Nurse Practitioner | 516 Division St Ste 110, Cedar Falls, IA 50613-2381 | 2011-07-11 |
| Street Address |
2310 BUCK DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1942808522 | Ivie Massie | Licensed Vocational Nurse | 7101 Waljim St Apt 101, Tyler, TX 75703-4904 | 2020-10-15 |
| 1659978120 | Krescenda Bircher | Licensed Vocational Nurse | 641 Spencer Ln, Tyler, TX 75704-6667 | 2020-10-07 |
| 1932706157 | Pliar Nicole Roland | Licensed Vocational Nurse | 3201 Carter Blvd E, Tyler, TX 75702-1116 | 2020-10-01 |
| 1174130124 | Toni Ruth Quezada | Licensed Vocational Nurse | 11567 19th Ave, Tyler, TX 75708-3205 | 2020-09-24 |
| 1790399467 | Ashaunti Ahmee Njie | Licensed Vocational Nurse | 12418 Kara Lynn Pl, Tyler, TX 75704-8708 | 2020-09-01 |
| 1528671476 | Curnifa Fredrica Harris | Licensed Vocational Nurse | 5100 Sweetbriar Ln Apt 217, Tyler, TX 75703-3847 | 2020-08-28 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1891303715 | Jayla Michelle Ward | Licensed Vocational Nurse | 2815 Pollard Dr, Tyler, TX 75701-7112 | 2020-07-16 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| 1750908398 | Quanisha Hicks | Licensed Vocational Nurse | 1717 Shiloh Rd Apt 260, Tyler, TX 75703-2454 | 2020-06-30 |
| Find all providers in TYLER | ||||
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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.