Fawn Janeen Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN091152 Issued in OH

Practice address

13117 Crennell Ave
Cleveland, OH 44105-4701

Phone

(216) 318-0126

NPI assigned

Aug 27, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1386891737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 E 222ND ST",
            "address_2": "APT B1",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231747",
            "telephone_number": "216-318-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13117 CRENNELL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441054701",
            "telephone_number": "216-318-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FAWN",
        "middle_name": "JANEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN091152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Johnson
• Elijah Johnson
• Erica Johnson
• Eva R Johnson, MD
• Evelyn Johnson
• Gary Dalevon Johnson
• Georgia Johnson, LPN
• Glenda Alise Johnson
• Gwendolyn Johnson, CDCA
• Halee Alexis Johnson, CNP

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.