PEGGY LAVERN JOHNSON (NPI# 1669806345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669806345 |
| Entity Type | Individual |
| Full Name | PEGGY LAVERN JOHNSON |
| Practice Address |
4455 Confederate Point Rd Apartment 10-d Jacksonville FL 32210-5757 |
| Practice Telephone | 9044008723 |
| Practice Fax Number | 9043745251 |
| Mailing Telephone | 9044008723 |
| Mailing Fax Number | 9043745251 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 691051396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384568 | Peggy Ann Johnson | Technician | 4922 W Roberts Dr, Santa Ana, CA 92704-1952 | 2019-09-09 |
| 1114343191 | Peggy Johnson | Dental Hygienist | 437 Old Via Rancho Dr, Escondido, CA 92029-7959 | 2014-03-13 |
| 1588936199 | Peggy M Johnson | Counselor | 4122 W 55th Pl Ste 119, Tulsa, OK 74107-9108 | 2012-01-30 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| 1104932292 | Peggy Ann Johnson | Massage Therapist | 14 W Graves Road, Spokane, WA 99218 | 2006-08-22 |
| 1588626501 | Peggy Lyn Johnson | Psychiatry & Neurology | 30 Winter St, Suite 802, Boston, MA 02108-4720 | 2006-04-05 |
| 1437119021 | Peggy A Johnson | Registered Nurse | 143 Reatta Dr, Decatur, TX 76234-5058 | 2006-03-27 |
| 1336341718 | Peggy Walton Johnson | Social Worker | 971 Harrison Ave, Youth Health Service Inc, Elkins, WV 26241 | 2007-06-05 |
| 1245455286 | Peggy Deane Johnson | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2007-04-16 |
| 1538292529 | Peggy Johnson | Physical Therapist | 101 14th St Ne, Buffalo, MN 55313-2927 | 2007-03-13 |
| Street Address |
4455 CONFEDERATE POINT RD APARTMENT 10-D |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141224 | Ami B Kowalski | Technician | 8161 Crosswind Rd, Jacksonville, FL 32244-5453 | 2019-12-17 |
| 1104462423 | Geoffrey C Lane | Technician | 4216 Old Mill Cove Trl W, Jacksonville, FL 32277-1582 | 2019-11-21 |
| 1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
| 1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
| 1790259729 | Juanita R. Cooks | Technician | 3224 Liberty Cir, Jacksonville, FL 32206-2101 | 2019-01-12 |
| 1669945606 | Suzie Pennington | Technician | 7541 Fawn Lake Dr N, Jacksonville, FL 32256-3665 | 2019-01-02 |
| 1518439876 | Angela Rand | Technician | 1710 Naldo Ave, Jacksonville, FL 32207-3138 | 2018-12-27 |
| 1366913394 | Sandra Prince Alvey | Technician | 2829 Seville Ct, Jacksonville, FL 32207-4622 | 2018-12-17 |
| 1235600321 | Angela Justina Mcdonald | Technician | 3047 Mikris Dr E, Jacksonville, FL 32225-7607 | 2018-12-16 |
| 1306317359 | Lauren Renee Simao | Technician | 1665 Cedar Bay Rd, Jacksonville, FL 32218-4971 | 2018-12-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
Please comment or provide details below to improve the information on PEGGY LAVERN 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.