Jacqueline Jacinda Johnson, STNA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1867 Nocturne Ave NE
Warren, OH 44483-4741

Phone

(133) 088-1679

NPI assigned

Nov 12, 2020

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

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1790387058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 NOCTURNE AVE NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834741",
            "telephone_number": "330-881-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 NOCTURNE AVE NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834741",
            "telephone_number": "133-088-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACQUELINE",
        "middle_name": "JACINDA",
        "credential": "STNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JacquelineJohnson",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home",
            "address_1": "1867 Nocturne Ave NE",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444834741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breanna Rae Johnson, LPN
• Courtney Nichole Johnson, RN
• Danielle Johnson
• Eric Johnson
• Hilary Brooke Johnson
• Jaliza Johnson
• Jeffrey William Johnson
• Kendra Lynn Johnson
• Linda S Johnson, LPN
• Marsha Johnson, LPN

• Personal Care Attendant in Warren, OH
• Providers in Warren, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.