MR. ANTOINE LEE JOHNSON (NPI# 1902422777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902422777 |
| Entity Type | Individual |
| Full Name | MR. ANTOINE LEE JOHNSON |
| Practice Address |
11201 Shaker Blvd Ste 308 Cleveland OH 44104-3871 |
| Mailing Address |
5520 Turney Rd Garfield Hts OH 44125-3702 |
| Practice Telephone | 2164178133 |
| Mailing Telephone | 2166477026 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1326380916 | Antoine C Johnson | Counselor | 4292 Memorial Dr Ste C, Decatur, GA 30032-1224 | 2013-03-21 |
| 1679730709 | Antoine Gerard Johnson | Dentist | 8860 Columbia 100 Pkwy Ste 308, Columbia, MD 21045-2298 | 2008-05-16 |
| 1639136294 | Antoine D Johnson | Family Medicine | 105 W. 4th Street, Aberdeen, WA 98520 | 2006-04-27 |
| 1588279053 | Antoine Johnson | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-11 |
| Street Address |
11201 SHAKER BLVD STE 308 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44104-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647908 | Jocelyn Boyd | Social Worker | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2019-12-23 |
| 1548877913 | Mercedes Serrano | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-09-29 |
| 1710503594 | Khadijah Shabazz | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-06-17 |
| 1326668070 | Alfredia Mcguire | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-04-23 |
| 1003436874 | Gregory Hart | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-04-22 |
| 1104446277 | Alicia Danielle Cody | Community Health Worker | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-04-19 |
| 1538798723 | Aryana B Jackson | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-04-08 |
| 1588298947 | Angela Benson | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-02-25 |
| 1275163982 | Emmanuel Douglas Mitchell Jr. | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1477058527 | Kwananda A Plato | Technician | 9717 Elwell Ave., Cleveland, OH 44104 | 2018-03-29 |
| 1073035887 | Tia Marie Heard | Home Health | 4591 Quincy Avenue Building Q, Cleveland, OH 44104 | 2017-07-13 |
| 1407306608 | Shelby Mcquiller | Social Worker | 2632 E 115th St, Cleveland, OH 44104 | 2016-10-11 |
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1164827705 | Eboni Danyale Jordan | Licensed Practical Nurse | 3143 East 99th, Cleveland, OH 44104 | 2014-10-24 |
| 1902224157 | Woodland Academy, Inc. | Local Education Agency (LEA) | 10615 Lamontier Blvd., Cleveland, OH 44104 | 2014-04-04 |
| 1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
| 1023387057 | Roslyn Jeanette Carter | Home Health Aide | 9423 Ramona Blvd, Cleveland, OH 44104 | 2011-12-20 |
| Find all providers in zip 44104 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1073123311 | King Malone IIi | Case Manager/Care Coordinator | 1193 E 172nd St, Cleveland, OH 44119-3153 | 2020-08-02 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| Find all providers in CLEVELAND | ||||
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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.