MRS. LYDIA ZIMMER JOHNSON (NPI# 1255750626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255750626 |
| Entity Type | Individual |
| Full Name | MRS. LYDIA ZIMMER JOHNSON |
| Credential | R.N. |
| Practice Address |
5613 Duraleigh Rd Suite 101 Raleigh NC 27612-2694 |
| Practice Telephone | 9197824597 |
| Practice Fax Number | 9197840089 |
| Mailing Telephone | 9197824597 |
| Mailing Fax Number | 9197840089 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 261954 | NC | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 5011443 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218747 | Lydia Lajoyce Johnson | Licensed Vocational Nurse | 10610 Hwy 59 N, Woodlawn, TX 75694 | 2019-07-26 |
| 1679573745 | Lydia Jones Johnson | Dermatology | 9109 Stony Point Dr, Richmond, VA 23235-1979 | 2005-07-29 |
| 1225489461 | Lydia Johnson | Specialist/Technologist | 9200 University Blvd, North Charleston, SC 29406-9121 | 2016-06-29 |
| 1760833628 | Lydia Johnson | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2016-06-22 |
| 1649679358 | Lydia Johnson | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2014-08-19 |
| 1194076604 | Lydia Johnson | Counselor | 20700 Watertown Rd, Suit 102, Waukesha, WI 53186-1800 | 2012-09-24 |
| 1699076398 | Lydia Johnson | Occupational Therapist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2010-11-11 |
| Street Address |
5613 DURALEIGH RD SUITE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740348382 | Susan Ann Ehrlich | Social Worker | 5613 Duraleigh Rd, Suite 161, Raleigh, NC 27612-2694 | 2006-12-05 |
| 1194265256 | Tanza Haskins | Social Worker | 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 | 2017-03-08 |
| 1578009312 | Devon Chartier | Counselor | 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 | 2017-01-18 |
| 1851846364 | M Thomas Jones Dmd, Pa | Dentist | 5613 Duraleigh Rd, Suite 131, Raleigh, NC 27612-2694 | 2016-08-25 |
| 1518348788 | Amy Swaim Counseling Services Inc. | Social Worker | 5613 Duraleigh Rd, Suite 161, Raleigh, NC 27612-2694 | 2015-06-14 |
| 1992103493 | Life Quality Resources | Registered Nurse | 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 | 2014-12-15 |
| 1245652643 | Dhruti Dholakia | Counselor | 5613 Duraleigh Rd, Suite 161, Raleigh, NC 27612-2694 | 2014-01-20 |
| 1437408689 | Rachel Marie Marshall | Counselor | 5613 Duraleigh Rd, Ste. 161, Raleigh, NC 27612-2694 | 2012-09-04 |
| 1902113517 | Deborah Kay Stewart | Social Worker | 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 | 2010-09-02 |
| 1790017929 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 5613 Duraleigh Rd, Raleigh, NC 27612-2694 | 2010-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1891318739 | Christopher Paul Murphy | Nurse Practitioner | 11200 Governor Manly Way Ste 23, Raleigh, NC 27614-8599 | 2020-05-27 |
| 1669095139 | Shannon Yahyapour | Nurse Practitioner | 1528 Shadowood Ln, Raleigh, NC 27612-5917 | 2020-05-19 |
| 1134752181 | Pamela Liane Harris Claxton | Nurse Practitioner | 3708 San Pablo Dr, Raleigh, NC 27616-4540 | 2020-02-18 |
| 1083253033 | Brenda Lee Gartrell | Nurse Practitioner | 2000 Red Quartz Dr, Raleigh, NC 27610-5634 | 2019-12-21 |
| 1154979227 | Bethany Bartholomew | Nurse Practitioner | 10941 Raven Ridge Rd Ste 201, Raleigh, NC 27614-6487 | 2019-08-30 |
| 1831750181 | Becky L Milam | Nurse Practitioner | 5900 Six Forks Rd Ste 200, Raleigh, NC 27609-8226 | 2019-06-27 |
| 1275034357 | Matthew O'donnell | Nurse Practitioner | 6500 Creedmoor Rd Ste 110, Raleigh, NC 27613-3698 | 2018-02-23 |
| 1356852792 | Meredith Tschoke | Nurse Practitioner | 4505 Falls of Neuse Rd Ste 650, Raleigh, NC 27609-2523 | 2017-10-12 |
| 1992174775 | Chun Young Hong | Nurse Practitioner | 3414 Six Forks Rd., Raleigh, NC 27609 | 2015-09-22 |
| Find all providers in RALEIGH | ||||
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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.