MRS. ALZA THERESA JOHNSON (NPI# 1992154710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992154710 |
| Entity Type | Individual |
| Full Name | MRS. ALZA THERESA JOHNSON |
| Practice Address |
139 Clyde Ave Syracuse NY 13207 |
| Practice Telephone | 3152007203 |
| Mailing Telephone | 3152007203 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 299068-1 | NY | Nursing Service Providers |
| Street Address |
139 CLYDE AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150254 | Tonia Michelle Moore | Licensed Practical Nurse | 621 West Brighton Ave, Syracuse, NY 13207 | 2018-07-06 |
| 1932528627 | Chakira Harris | Licensed Practical Nurse | 943 West Lafayette Ave, Apt 2, Syracuse, NY 13207 | 2014-04-10 |
| 1598195471 | Brittany St. Dennis | Licensed Practical Nurse | 134 Swrhill Terrace, Syracuse, NY 13207 | 2013-11-14 |
| 1417380445 | Terence White | Registered Nurse | 314 Palmer Ave, Syracuse, NY 13207 | 2013-08-13 |
| 1447587795 | Lauren C Belair | Licensed Practical Nurse | 3665 Gardenia Dr., Baldwinsville, NY 13207 | 2009-11-06 |
| 1497088843 | Eileen R. Mchale | Speech-Language Pathologist | 301 Valley Drive, Parkside Children's Center, Syracuse, NY 13207 | 2009-09-16 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1356565675 | Mary Agnes Wykstra | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2007-04-11 |
| 1326297482 | Kelly Lorraine Evans | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2008-09-14 |
| 1164674727 | Hope R Ford | Licensed Practical Nurse | 541 Velasko Rd, Syracuse, NY 13207-1030 | 2008-10-15 |
| Find all providers in zip 13207 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1699380071 | Carol A Sustache | Licensed Vocational Nurse | 407 Grand Ave, Syracuse, NY 13204-2711 | 2020-09-11 |
| 1710307574 | Abdul Augustus Gilbert | Licensed Vocational Nurse | 2605 S Salina St, Syracuse, NY 13205-1526 | 2014-04-21 |
| 1821438821 | Brenda Lee Dickinson | Licensed Vocational Nurse | 117 Hoefler St, Syracuse, NY 13204-3417 | 2013-07-05 |
| 1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
| 1992007421 | Iris Louise Maxwell | Licensed Vocational Nurse | 5 Maxwell Ct, Syracuse, NY 13207-2533 | 2010-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591484 | Marcia Laki Wright | Licensed Vocational Nurse | 500, 500 Hahnemann Trail, Pittsford, NY 14532 | 2020-06-08 |
| 1306471792 | Amanda Ferrell | Licensed Vocational Nurse | 1196 County 23 Lot 7, Phelps, NY 14532 | 2020-03-06 |
| 1033758289 | Alexa Rose | Licensed Vocational Nurse | 9 Wichard Dr, Oakdale, NY 11769-1513 | 2020-01-04 |
| 1972148658 | Rhonda Irene Petrone | Licensed Vocational Nurse | 162 Merrill St, Rochester, NY 14615-2324 | 2019-11-17 |
| 1205470028 | Kayon Haynes | Licensed Vocational Nurse | 11433 194th St, Saint Albans, NY 11412-2741 | 2019-11-05 |
| 1477103844 | Vanessa Marie Vargas | Licensed Vocational Nurse | 94 Shepard Ave Lowr, Kenmore, NY 14217-1914 | 2019-09-17 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1093278558 | Alima Abdoulaye | Licensed Vocational Nurse | 1525 Walton Ave Apt 5f, Bronx, NY 10452-6143 | 2019-04-11 |
| 1093271090 | Chantal L Fitzgerald | Licensed Vocational Nurse | 3995 Rt 14a, Reading Center, NY 14876-0073 | 2019-02-14 |
| 1811467947 | Norma Jean Grip | Licensed Vocational Nurse | 321 Bernice St, Rochester, NY 14615-2101 | 2018-12-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. ALZA THERESA 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.