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Andre'a Johnson , LPN

Licensed Practical Nurse β€’ Maumee, OH

Active NPI 1932665494 Individual Practitioner Female Practitioner
Practice location in NPPES

1655 Holland Rd Ste F
Maumee, OH 435371656

Call 5138347063 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1655 Holland Rd Ste F

Maumee, OH 435371656

Telephone 5138347063
Organization at the Same NPPES Address or Phone
Ohio Virtual Academy Facility NPI 1346489622

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Farmington Hills, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maumee and Ohio

71 active clinicians are listed under Licensed Practical Nurse with a practice address in Maumee, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maumee

0% of these 71 clinicians have the CMS telehealth indicator.

0% of these 71 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-23
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.171044.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

27777 Inkster Rd Ste 100

Farmington Hills, MI 483345326

Phone: 2484364400

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Patricia Burns , APRN

Nurse Practitioner - Family

NPI 1003225327

Advanced Practice Registered Nurse

Heather Cole , APRN

Nurse Practitioner

NPI 1063072643

Advanced Practice Registered Nurse

Dr. Deana Kimes , DO

Internal Medicine - Addiction Medicine

NPI 1053560433

Doctor of Osteopathic Medicine (D.O.)

Dr. David Munter , MD

Emergency Medicine

NPI 1073545232

Doctor of Medicine (M.D.)

Ashley Pierson , APRN

Nurse Practitioner - Family

NPI 1033737085

Advanced Practice Registered Nurse

Stephanie Sears , APRN

Nurse Practitioner - Family

NPI 1104422492

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 23, 2021

Registered at 1655 HOLLAND RD STE F, MAUMEE, OH 435371656 (Tel: 5138347063)

πŸ“
Updated Business Mailing Address March 23, 2021

Registered at 615 ELSINORE PL STE 200, CINCINNATI, OH 452021457 (Tel: 5138347063)

πŸ‘€
Provider Name / Credentials Updated March 23, 2021

Recorded as ANDRE'A JOHNSON, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2021

Licensed Practical Nurse (license number reported to NPPES: OH LPN.171044.MEDS-IV)

βœ…
NPI Profile Active February 20, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 20, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2484364400)

πŸ“
Business Mailing Address (Initial Record) February 20, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2484364400)

πŸ‘€
Provider Name / Credentials (Initial Record) February 20, 2019

Recorded as ANDRE'A COLEMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration February 20, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932665494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2019
Last Update: March 23, 2021
Sole Proprietor: No

Mailing Address

615 Elsinore Pl Ste 200

Cincinnati, OH 452021457

Phone: 5138347063

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.