Roberta R Johnston, LPN
Individual provider Active NPI Licensed Practical Nurse · Dorset, OH
NPI 1639366131 · NPPES record last updated Sep 27, 2007
Key facts
- NPI
- 1639366131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN113643 (OH)
- Practice address
- 3197 Footville Richmond Rd
Dorset, OH 44032-9605 - Phone
- (440) 858-2333
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN113643 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN113643 | OH | Yes |
Addresses
Primary practice location
3197 Footville Richmond Rd
Dorset, OH 44032-9605
Mailing address
3197 Footville Richmond Rd
Dorset, OH 44032-9605
Phone (440) 858-2333
Other providers in Dorset, OH
- Constellations Counseling Services LLC
- Rebecca J Frain
- Karla Ann Galati
- Tina Louise Giddings
- Amara Graham
- Donna Mae Pilkington
- Joanne Dee Russell
- Melody Schilt
- Robin Lee Stout
All providers in Dorset, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.