Shannon Symone Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.424265 Issued in OH

Practice address

1120 Country View LN Apt 11D
Toledo, OH 43615-8315

Phone

(419) 322-0340

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shannon Hicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1174184402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 COUNTRY VIEW LN APT 11D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436158315",
            "telephone_number": "419-322-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COUNTRY VIEW LN APT 11D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436158315",
            "telephone_number": "419-322-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANNON",
        "middle_name": "SYMONE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.424265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HICKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochelle Maxine Johnson, LICDC, CRC
• Russell Johnson
• Ryan D. Johnson
• Sarah Jo Johnson, RN
• Shalayna Lynise Johnson
• Shawanda Johnson
• Shawn Johnson
• Skylar Johnson
• Spencer Johnson, D.O
• Stacie Lynn Johnson

• Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.