Nichelle Rynette Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN044382 Issued in AZ

Practice address

44150 W Maricopa Casa Grande Hwy
Maricopa, AZ 85138-5900

Phone

(520) 568-5100

NPI assigned

Sep 11, 2009

Last updated

Sep 11, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maricopa Unified School District

  • Local Education Agency (LEA)
  • Maricopa, AZ
  • NPI 1043331275
  NPD (past)
• Maricopa Unified School District

  • Local Education Agency (LEA)
  • Maricopa, AZ
  • NPI 1184013310
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1386977130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19522 N COMET TRL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385814",
            "telephone_number": "520-568-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44150 W MARICOPA CASA GRANDE HWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385900",
            "telephone_number": "520-568-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICHELLE",
        "middle_name": "RYNETTE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LPN044382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joechris Home LLC.
• Tracey John, P.A.-C
• Claudette Elizabeth Johnson
• Garrett Johnson, PT
• Laury Kay Johnson, R.N.
• Joint Healing Operations Alpha House LLC
• Joint Healing Operations Alpha House LLC (Mission Support Residences LLC)
• Danielle Josephine Jones, LPN
• Dwyla Dean Jones
• Tyeasa Renae Jones, PMHNP-BC

• Licensed Practical Nurse in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.