MRS. SHANTA MARIE JOHNSON (NPI# 1548751340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548751340 |
| Entity Type | Individual |
| Full Name | MRS. SHANTA MARIE JOHNSON |
| Other Name | MRS. SHANTA MARIE JOHNSON |
| Credential | CCMA |
| Practice Address |
113 22nd Avenue Sw Centerpoint AL 35215 |
| Mailing Address |
113 22nd Ave Ne Center Point AL 35215-4607 |
| Practice Telephone | 8507377392 |
| Mailing Telephone | 8507377392 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 18023894 | AL | Agencies |
| N | 374U00000X | Home Health Aide | 000000000 | AL | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | 18023894 | AL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 824882016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569613 | Shanta Johnson | Social Worker | 1195 Shining Water Ln, Creedmoor, NC 27522-7243 | 2016-10-18 |
| Street Address |
113 22ND AVENUE SW |
| City | CENTERPOINT |
| State | AL |
| Zip Code | 35215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921627 | Ernest L Sanders | Counselor | 24 Freda Jane Lane, Birmingham, AL 35215 | 2017-09-13 |
| 1750804092 | Deborah Lanette Alexander | Specialist | 827 Floretine Dr., Birmingham, AL 35215 | 2017-07-19 |
| 1992234355 | Angela Gray | Specialist | 3941 Amanda Court, Birmingham, AL 35215 | 2017-06-08 |
| 1245575950 | American Family Care, Inc. | General Practice | 20 Hazelwood Dr, Pell City, AL 35215 | 2012-12-06 |
| 1669744454 | Matthew Todd Kellum | Physical Therapist | 1687 Center Point Pkwy Ste 101, Center Point, AL 35215 | 2012-02-08 |
| 1417194754 | Maribel Vista Dela Cruz | Physical Therapist | 1920 Springville Road, Suite 104, Birmingham, AL 35215 | 2009-01-08 |
| 1649330200 | Roger L Gill | Dentist | 2232 Center Point Parkway, Birmingham, AL 35215 | 2006-12-12 |
| 1861568891 | Ronald G Philipp | Dentist | 2525 Centerpoint Parkway, Birmingham, AL 35215 | 2006-11-28 |
| 1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
| 1447369624 | David R Winchester | Dentist | 2500 Center Point Pkwy, Ste 100, Birmingham, AL 35215 | 2006-08-30 |
| Find all providers in zip 35215 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518216 | Acaf of East Alabama, LLC | Home Health | 2056 Cherokee Road, Alexander City, AL 35010 | 2020-11-04 |
| 1578163143 | Leisha Jenkins Henry | Home Health | 6722 Van Buren St # Condo3, Daphne, AL 36526-7584 | 2020-10-31 |
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1366058596 | Heart Warming Angels Homecare LLC | Home Health | 1716 Patterson St Nw, Huntsville, AL 35816-1628 | 2020-09-22 |
| 1801402318 | Merida Care LLC | Home Health | 3943 Richard Arrington Jr Blvd N, Birmingham, AL 35234-2453 | 2020-09-20 |
| 1851906036 | Loving Care Home Health LLC | Home Health | 1715 7th Ave N, Bessemer, AL 35020-4856 | 2020-09-14 |
| 1679186001 | Silvannia Waters | Home Health | 1909 Montgomery Hwy Ste 310, Dothan, AL 36303-3299 | 2020-08-25 |
| 1740891910 | Jessica Celeste Ealey | Home Health | 271 Watson Bridge Rd, Kinsey, AL 36303-7629 | 2020-08-12 |
| 1932718236 | Linda Beck | Home Health | 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 | 2020-07-23 |
| 1669090809 | Takita Green | Home Health | 323 Olympia Dr, Homewood, AL 35209-3743 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | CENTERPOINT |
| Zip Code | 35215 |
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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.