MRS. GLENDA ALISE JOHNSON (NPI# 1689832420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689832420 |
| Entity Type | Individual |
| Full Name | MRS. GLENDA ALISE JOHNSON |
| Credential | 05/04/1974 |
| Practice Address |
13514 Kelso Ave Cleveland OH 44110 |
| Practice Telephone | 2169256559 |
| Mailing Telephone | 2169256559 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2011-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 375268750696 | OH | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156691 | Glenda Johnson | Licensed Vocational Nurse | 6133 Sherwood Way Apt 1215, San Angelo, TX 76901-5634 | 2018-03-03 |
| 1679576243 | Glenda Johnson | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2005-05-27 |
| 1164914230 | Glenda Lanae Johnson | Technician, Other | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2018-06-04 |
| 1811393580 | Glenda Johnson | Dietitian, Registered | 2021 Perdido St, New Orleans, LA 70112-1352 | 2014-11-07 |
| 1215248760 | Glenda Byrd Johnson | Speech-Language Pathologist | 1087 13th St Se, Hickory, NC 28602-4165 | 2010-06-30 |
| Street Address |
13514 KELSO AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952287 | Tamika Bonner-conway | Licensed Practical Nurse | 15315 Lucknow Ave, Cleveland, OH 44110 | 2017-06-21 |
| 1831554039 | Neecy's Transportation LLC | Non-emergency Medical Transport (VAN) | 14036 St.clair Ave, Cleveland, OH 44110 | 2015-12-15 |
| 1770970758 | Sherri Craig | Home Health Aide | 16201b Lakeshore Blvd Apt123, Cleveland, OH 44110 | 2015-04-17 |
| 1538576897 | Alayjah M Terrell | Home Health Aide | 917 East 150th, Cleveland, OH 44110 | 2014-07-18 |
| 1700204955 | East Academy, Inc. | Local Education Agency (LEA) | 17520 Kipling, Cleveland, OH 44110 | 2014-04-04 |
| 1578990867 | Delaundria Denise Benjamin | Licensed Practical Nurse | 14206 Westropp Ave, Apt. 211, Cleveland, OH 44110 | 2013-10-01 |
| 1114262789 | Epiphany Damaja Baker | Home Health Aide | 892 E. 139th Street, Cleveland, OH 44110 | 2012-12-07 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1447495312 | Kathy Jean Taylor | Non-emergency Medical Transport (VAN) | 15218 Lakeshore Blvd, Cleveland, OH 44110 | 2008-12-08 |
| 1760684534 | Carla Yvette Beasley | Licensed Practical Nurse | 14217 Westropp, Cleveland, OH 44110 | 2007-06-04 |
| Find all providers in zip 44110 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811474463 | Frances Frabotta | Nursing Home Administrator | 7586 Ruth St, Mentor, OH 44060-6016 | 2018-07-26 |
| 1740600964 | Matt Dapore | Nursing Home Administrator | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-04-28 |
| 1821346420 | Janet Somi Wilkerson | Nursing Home Administrator | 77 Fawn Dr Apt 302, Fairfield, OH 45014-6156 | 2012-08-29 |
| 1255637492 | Brandi Samantha Searcy | Nursing Home Administrator | 382 Elson Ave, Barberton, OH 44203-4176 | 2011-02-06 |
| 1508069519 | Nicholas Ageboh Morfaw | Nursing Home Administrator | 200 Parklawn Blvd Apt E, Columbus, OH 43213-3811 | 2007-06-07 |
| 1487861191 | Henrietta Tsanyi Bettah | Nursing Home Administrator | 4795 Hummingbird Ct S, Columbus, OH 43229-5619 | 2007-05-16 |
| 1861907834 | Carla Sue Daasch | Nursing Home Administrator | 476 Riddle Rd, Cincinnati, OH 45220-2411 | 2017-12-12 |
| 1336530856 | Ezinne Ndukwe | Nursing Home Administrator | 1279 E Dublin Granville Rd, Columbus, OH 43229-3300 | 2015-02-06 |
| 1528463171 | Sherry Webb | Nursing Home Administrator | 152 Main Street, Cloverdale, OH 45827-0086 | 2014-10-24 |
Please comment or provide details below to improve the information on MRS. GLENDA ALISE 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.