Charlotte Ladale Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

325217 Issued in TX

Practice address

610 Uptown Blvd Ste 2000 #674
Cedar Hill, TX 75104-3528

Phone

(972) 972-0698

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Essential Care Diagnostic Services, LLC

  • Clinical Medical Laboratory
  • Desoto, TX
  • NPI 1326621939
  Authorized official Same address or phone

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1790367829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000 #674",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "972-972-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000 #674",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "972-972-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLOTTE",
        "middle_name": "LADALE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "325217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "securerecords@essentialcareds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "610 Uptown Blvd Ste 2000 #674",
            "city": "Cedar Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751043528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ieshea Daniella Jarmon, PSY.D.
• Dennis Erwin Javier, P.T.
• Jacob Jezak
• Jeswina John
• Carletta Kay Johnson, L.P.C.
• Katandria Johnson, DRPH
• Markeita Danielle Johnson, NP
• Sandra Iveth Johnson, PHARMD
• Shanikqu Lashun Johnson
• Sigrid Jones-Albercrombie, APRN, PMHNP-BC

• Licensed Vocational Nurse in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.