JORDAN ISAIAH JOHNSON (NPI# 1871018366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871018366 |
| Entity Type | Individual |
| Full Name | JORDAN ISAIAH JOHNSON |
| Credential | LPN |
| Practice Address |
4503 Edmond Dr South Euclid OH 44121-3907 |
| Practice Telephone | 2169906189 |
| Mailing Telephone | 2169906189 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.143733.MEDS- | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1740735620 | Jordan Johnson | Physical Therapist | 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 | 2016-08-19 |
| 1396114351 | Jordan Johnson | Behavioral Analyst | 146 S Thomas St Ste E, Tupelo, MS 38801-5328 | 2015-09-21 |
| 1881072205 | Jordan Johnson | Technician, Other | 222 6th Ave, Manistee, MI 49660-1318 | 2015-05-18 |
| 1528497286 | Jordan R Johnson | Marriage & Family Therapist | 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 | 2013-11-04 |
| 1366888174 | Jordan Lloyd Johnson | Dentist | 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 | 2013-05-20 |
| 1669085981 | Jordan Johnson | Physician Assistant | 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 | 2020-08-26 |
| 1932723715 | Jordan Tyler Johnson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-06-08 |
| 1609499383 | Jordan Johnson | Behavior Technician | 4221 Benner Ste 250, Kyle, TX 78640-2220 | 2020-05-28 |
| Street Address |
4503 EDMOND DR |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
| 1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
| 1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
| 1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127429 | Taylor Nicole Dismon | Licensed Practical Nurse | 1407 Winston Rd, South Euclid, OH 44121-2517 | 2020-09-02 |
| 1912559931 | Tiara Kaseda | Licensed Practical Nurse | 947 S Green Rd Apt 1c, South Euclid, OH 44121-3482 | 2019-07-10 |
| 1033681614 | Ashley Cierra Rice | Licensed Practical Nurse | 4076 Princeton Blvd, South Euclid, OH 44121-2344 | 2018-12-20 |
| 1104393784 | Dionna Latrice Johnson | Licensed Practical Nurse | 4417 Lucille Ave, South Euclid, OH 44121-3538 | 2018-10-31 |
| 1194205856 | Roxanne Natasa Cross | Licensed Practical Nurse | 850 S Green Rd, Apt 5, South Euclid, OH 44121-3460 | 2018-08-21 |
| 1619489408 | Jaque D Grant | Licensed Practical Nurse | 1567 Maplegrove Rd, South Euclid, OH 44121-3025 | 2017-11-02 |
| 1063924959 | Samaiya Robinson | Licensed Practical Nurse | 4365 Ardmore Rd, South Euclid, OH 44121-3620 | 2017-10-31 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1811344658 | Tiffany Webb | Licensed Practical Nurse | 3746 Merrymound Rd, South Euclid, OH 44121-1906 | 2016-05-23 |
| 1679965420 | Nicole Marks | Licensed Practical Nurse | 1142 Plainfield Rd, South Euclid, OH 44121-2556 | 2015-03-03 |
| Find all providers in SOUTH EUCLID | ||||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
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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.