Gregory Michael Johnson II, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

602593740123 Issued in OH

Practice address

5461 Clement Ave
Maple Heights, OH 44137-2606

Phone

(216) 635-6616

NPI assigned

Mar 22, 2025

Last updated

Mar 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1780485029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 CLEMENT AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372606",
            "telephone_number": "216-635-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 CLEMENT AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372606",
            "telephone_number": "216-635-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_suffix": "II",
        "credential": "STNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "602593740123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierra A Jmaes, MEDICAL ASSISTANT II
• Carol Ann Johlin
• Alliece Johnson
• Candis Johnson
• Darryl Edwin Johnson Jr.
• Marcia Michelle Johnson, RN
• Rhonda Lanice Johnson
• Roberta Johnson
• Steven Devoe Johnson
• Tanecia Johnson, LPN

• Nurse's Aide in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.