MISS KELLI SHA'RON JOHNSON (NPI# 1871038729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871038729 |
| Entity Type | Individual |
| Full Name | MISS KELLI SHA'RON JOHNSON |
| Credential | LPN |
| Practice Address |
3014 Boring Ridge Dr Decatur GA 30034-4427 |
| Practice Telephone | 6789072193 |
| Practice Fax Number | 6787055435 |
| Mailing Telephone | 6789072193 |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN068141 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985267 | Kelli Cherie Johnson | Dental Hygienist | 950 Maine Ave Sw Apt 1215, Washington, DC 20024-3461 | 2020-05-29 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1306269766 | Kelli Jo Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1851643423 | Kelli Almaria Johnson | Occupational Therapist | 1000 West 75th Street, Shawnee Mission, KS 66204 | 2012-10-08 |
| 1881643039 | Kelli Renee Johnson | Midwife | 802 Fisher Rd, Winter Springs, FL 32708-3642 | 2006-05-08 |
| 1538143672 | Kelli Michelle Johnson | Pharmacy Technician | 2700 Ne University Vlg, Seattle, WA 98105-5008 | 2005-12-02 |
| 1114492840 | Kelli Ann Johnson | Counselor | 107 S Division St, Spokane, WA 99202-1510 | 2018-10-09 |
| 1598266348 | Kelli Vargas Johnson | Specialist/Technologist | 900 Round Valley Dr Ste 100, Park City, UT 84060-7552 | 2018-02-27 |
| 1013429307 | Kelli Johnson | Occupational Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2017-10-26 |
| 1558889394 | Kelli Ann Johnson | Counselor | 1221 W 5th St, Sheridan, WY 82801 | 2017-08-31 |
| Street Address |
3014 BORING RIDGE DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| 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 |
|---|---|---|---|---|
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1730616392 | Kalena Yolanda Smith | Licensed Practical Nurse | 12219 Highway 503, Decatur, MS 39327-8915 | 2017-05-15 |
| 1205207230 | Nekeisha Johnson | Licensed Practical Nurse | 4318 Sherwood Oaks Dr, Decatur, GA 30034-5475 | 2015-10-16 |
| 1124450010 | Kurteice C James | Licensed Practical Nurse | 2024 Fowler Rd, Decatur, GA 30035-2130 | 2013-08-02 |
| 1619216645 | Rose Andrea Hills | Licensed Practical Nurse | 3657 Dogwood Farm Rd, Decatur, GA 30034-6403 | 2013-02-12 |
| 1699382895 | Pamela Mckelvey | Licensed Practical Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2020-09-30 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1992326979 | Stephanie P Conlin | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1619598695 | Tammy L Washington | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in DECATUR | ||||
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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.