BRENDA JOHNSON (NPI# 1407361611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407361611 |
| Entity Type | Individual |
| Full Name | BRENDA JOHNSON |
| Practice Address |
4400 Euclid Ave Cleveland OH 44103-3734 |
| Practice Telephone | 2164315800 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041681 | Brenda L Johnson | Dietitian, Registered | 12383 S 78th St, Papillion, NE 68046-4765 | 2019-12-28 |
| 1700423829 | Brenda Johnson | Massage Therapist | 2375 Professional Heights Dr Ste 260, Lexington, KY 40503-3040 | 2019-12-09 |
| 1255990206 | Brenda L. Johnson | Licensed Practical Nurse | 6412 Baragon Hill Rd, Friendship, NY 14739-8668 | 2019-06-12 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| 1053866830 | Brenda Demetrius Johnson | Nurse's Aide | 1114 S Springinsguth Rd Apt 2b, Schaumburg, IL 60193-3463 | 2016-08-22 |
| 1437502853 | Brenda Johnson | Social Worker | 3720 Chuck Wagon Rd, Cheyenne, WY 82009-9418 | 2016-07-20 |
| 1740683499 | Brenda Sue Johnson | Physician Assistant | 8233 Fredericksburg Road, San Antonio, TX 78229 | 2014-10-08 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1942633276 | Brenda Lee Johnson | Foster Care Agency | 308 Sw. Shelby Avenue, Madison, FL 32340-2334 | 2013-08-09 |
| 1568803880 | Brenda Johnson | Massage Therapist | 1788 Broad St, Cranston, RI 02905-3520 | 2013-07-15 |
| Street Address |
4400 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194948893 | James M Lionetti | Pharmacist | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2007-04-11 |
| 1609409291 | Brenden Stinson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-21 |
| 1619508256 | Chamekia Rena Edwards | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-02 |
| 1235771965 | Phyllis Gossett | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1528600251 | Michelle Starling | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1417503020 | Britney Laux | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1235785841 | Kierra Mcdade | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1083268718 | Brian Spence | Nurse Practitioner | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-31 |
| 1922650340 | Ladamoneek Broadus | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-16 |
| 1407408909 | Margaret Whitmore | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1073123311 | King Malone IIi | Case Manager/Care Coordinator | 1193 E 172nd St, Cleveland, OH 44119-3153 | 2020-08-02 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| Find all providers in CLEVELAND | ||||
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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.