Active NPI
Candis Johnson
- Phlebotomy Technician
- Maple Heights, OH
National Provider Identifier
1710891767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 15517 Ramage Ave
Maple Heights, OH 44137-4049 - Phone
- (216) 240-6644
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | ||
| Home Delivered Meals | 332U00000X | NU | ||
| Phlebotomy Technician | 246RP1900X | NU | Primary |
Addresses
Primary practice location
15517 Ramage Ave
Maple Heights, OH 44137-4049
Mailing address
15517 Ramage Ave
Maple Heights, OH 44137-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1710891767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15517 RAMAGE AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441374049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15517 RAMAGE AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441374049",
"telephone_number": "216-240-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CANDIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.