JAYVIAN JOHNSON (NPI# 1568818672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568818672 |
Entity Type | Individual |
Full Name | JAYVIAN JOHNSON |
Practice Address |
2116 E 11th St Little Rock AR 72202-4320 |
Mailing Address |
Po Box 166415 Little Rock AR 72216-6415 |
Practice Telephone | 5014258174 |
Mailing Telephone | 5014258174 |
Enumeration Date | 2016-05-06 |
Last Update Date | 2016-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 46-0763339 | AR | Other Service Providers |
Street Address |
2116 E 11TH ST |
City | LITTLE ROCK |
State | AR |
Zip Code | 72202-4320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
Find all providers in zip 72202 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295196574 | Healthscope Benefits | Contractor | 27 Corporate Hill Dr, Little Rock, AR 72205-4537 | 2016-03-14 |
1639516545 | Harry Bassett | Contractor | 16 Marchwood Cv, Little Rock, AR 72210-3704 | 2013-05-31 |
1629340047 | Georgia Abner | Contractor | 6007 Mandan Rd, Little Rock, AR 72210-3046 | 2012-01-31 |
1356509327 | Marilyn Jamie Eubanks | Contractor | 1301 Biscayne Dr, Little Rock, AR 72227-5816 | 2008-05-27 |
1780857128 | Alicia Anne Watson | Contractor | 2923 Circlewood Dr, Little Rock, AR 72207-2609 | 2008-04-07 |
1689883209 | Superior Source Inc | Contractor | 78 Westminister Dr, Little Rock, AR 72209-2949 | 2007-05-21 |
1275664708 | Amy Melissa Graves | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2007-03-08 |
1356470025 | Jeanne Miller | Contractor | 14701 Cecil Dr, Little Rock, AR 72223-1913 | 2007-03-05 |
1730221797 | Caroline Le | Contractor | 12720 Pleasant View Dr, Little Rock, AR 72212-2227 | 2007-02-13 |
1396736401 | Sharon Renee Morrison | Contractor | 8204 Kanis Oaks Dr, Little Rock, AR 72204-2310 | 2005-10-31 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72202 |
Please comment or provide details below to improve the information on JAYVIAN 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.