CAROLINA JOHNSON-SUDO (NPI# 1134594989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134594989 |
| Entity Type | Individual |
| Full Name | CAROLINA JOHNSON-SUDO |
| Other Name | CAROLINA DEL CARMEN JOHNSON-SUDO |
| Credential | NURSE |
| Practice Address |
142 Wayfair Ln Hinesville GA 31313-8308 |
| Practice Telephone | 9129808967 |
| Practice Fax Number | 9124356232 |
| Mailing Telephone | 9129808967 |
| Mailing Fax Number | 9124356232 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN064400 | GA | Nursing Service Providers |
| Street Address |
142 WAYFAIR LN |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-8308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| 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 |
|---|---|---|---|---|
| 1558715300 | Veltrice Shantessa Buckhannan | Licensed Practical Nurse | 904 Churchfield Dr, Hinesville, GA 31313-9404 | 2016-04-19 |
| 1750746541 | Chelsea Smith | Licensed Practical Nurse | 1945 Heathrow Dr, Hinesville, GA 31313-9413 | 2015-12-21 |
| 1427434661 | Margaret Mckay | Licensed Practical Nurse | 1300 Independence Place Dr, Apt 226, Hinesville, GA 31313-9510 | 2015-08-10 |
| 1225439441 | Joyce Wilkerson | Licensed Practical Nurse | 627 Mcdowell Rd, Hinesville, GA 31313-4519 | 2014-09-08 |
| 1114918158 | Edna Michelle Clark | Licensed Practical Nurse | 635 Slade St, Hinesville, GA 31313-3941 | 2005-10-31 |
| 1720519481 | Amanda Thrasher | Licensed Practical Nurse | 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 | 2017-03-24 |
| 1346644515 | Linda Smith | Licensed Practical Nurse | 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 | 2014-10-17 |
| 1114320801 | Cheryl Banks | Licensed Practical Nurse | 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 | 2014-10-08 |
| 1831592203 | Teresa Crane | Licensed Practical Nurse | 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 | 2014-09-30 |
| 1699065789 | Sandra Herrera | Licensed Practical Nurse | 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 | 2011-04-11 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on CAROLINA JOHNSON-SUDO.
| 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.