DEREKIA JOHNSON (NPI# 1295350015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295350015 |
| Entity Type | Individual |
| Full Name | DEREKIA JOHNSON |
| Practice Address |
8278 Golden Bamboo Dr Jacksonville FL 32219-6012 |
| Practice Telephone | 9046168677 |
| Mailing Telephone | 9046168677 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5214949 | FL | Nursing Service Providers |
| N | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| Street Address |
8278 GOLDEN BAMBOO DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32219-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902182447 | Beatrice E Hall | Technician | 5838 Soutel Dr., Jacksonville, FL 32219 | 2011-10-28 |
| 1437173697 | Bennie Clark Jr. | Dentist | 5475 Soutel Drive, Jacksonville, FL 32219 | 2006-07-27 |
| 1801842679 | Susan E. Kurner | Counselor | 10149 Fox Lake Ct, Jacksonville, FL 32219-1693 | 2006-05-25 |
| 1841629243 | Latonia Delores Simmons | Day Training, Developmentally Disabled Services | 12428 Cadley Cir, Jacksonville, FL 32219-1861 | 2013-11-06 |
| 1114495512 | La Assistant Services | Home Health Aide | 12428 Cadley Cir, Jacksonville, FL 32219-1861 | 2018-11-05 |
| 1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
| 1700372869 | Valerie M Vinson-anderson | In Home Supportive Care | 6751 Langford St, Jacksonville, FL 32219-1875 | 2018-07-02 |
| 1821528860 | Samaiyah Harris | Adult Companion | 6967 Sandle Dr, Jacksonville, FL 32219-1884 | 2017-06-13 |
| 1023508595 | Present Help Companion Services, LLC | Respite Care | 6967 Sandle Dr, Jacksonville, FL 32219-1884 | 2018-05-10 |
| 1629635420 | Kimberly Walker | Registered Nurse | 8921 Merseyside Ave, Jacksonville, FL 32219-2374 | 2019-05-28 |
| Find all providers in zip 32219 | ||||
| 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 |
|---|---|---|---|---|
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1255959474 | Tracey Fitzgerald | Licensed Practical Nurse | 50 N Laura St Ste 2560, Jacksonville, FL 32202-3664 | 2020-07-14 |
| 1265052930 | Cristal Lashonda Daniels | Licensed Practical Nurse | 873 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-04-22 |
| 1750917001 | Stacy Patreace Godwin | Licensed Practical Nurse | 7082 Saint Ives Ct, Jacksonville, FL 32244-0300 | 2020-03-19 |
| 1063045433 | Brenda Cherry | Licensed Practical Nurse | 12281 Drift Ct, Jacksonville, FL 32218-0841 | 2020-02-13 |
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1619507936 | Cherika Philo | Licensed Practical Nurse | 4320 Sunbeam Rd Apt 219, Jacksonville, FL 32257-8828 | 2020-01-26 |
| 1467013805 | April Yolande Pollard | Licensed Practical Nurse | 1861 Boston Commons Way, Jacksonville, FL 32221-2131 | 2019-06-26 |
| 1184285652 | Cierra Elizabeth Carter | Licensed Practical Nurse | 906 W Monroe St Apt 401, Jacksonville, FL 32204-1184 | 2019-06-25 |
| 1063070480 | Edward Richard Cahill | Licensed Practical Nurse | 6539 Townsend Rd Lot 123, Jacksonville, FL 32244-4370 | 2019-05-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32219 |
Please comment or provide details below to improve the information on DEREKIA 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.