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Active NPI 1205535093 Individual Practitioner Female Practitioner

Letitia Michelle Johnson , LPN

Licensed Practical Nurse • East Wareham, MA

Professional Overview & Biography Verified Profile Summary

Letitia Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in East Wareham, MA. Practice services are available at 3088 CRANBERRY HWY STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3088 Cranberry Hwy Ste A

East Wareham, MA 025384800

Telephone 5082957990
Fax 5082953781
Associated Practice Facility / Clinic
🏢 Habit Opco Facility NPI 1396056347

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in East Wareham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
13 Specialists

Practicing in East Wareham, MA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-24
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA LN96749

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Renae Navarro , LPN

Licensed Practical Nurse

NPI 1043062672

Licensed Practical Nurse

John Haley

Counselor - Addiction (Substance Use Disorder)

NPI 1174973770
Cassandra Conlin , LPN

Licensed Practical Nurse

NPI 1255078655

Licensed Practical Nurse

Jessica Sellars , MS

Counselor - Addiction (Substance Use Disorder)

NPI 1255561387

Master of Science

Larrisa Berardinelli

Counselor - Addiction (Substance Use Disorder)

NPI 1255839783
Brittany Lague , LPN

Licensed Practical Nurse

NPI 1275240905

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2023

Licensed Practical Nurse (License #LN96749 in MA)

NPI Profile Active March 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2023

Registered at 3088 CRANBERRY HWY STE A, EAST WAREHAM, MA 025384800 (Tel: 5082957990)

📍
Updated Business Mailing Address March 01, 2023

Registered at 3088 CRANBERRY HWY STE A, EAST WAREHAM, MA 025384800 (Tel: 5082957990)

👤
Provider Name / Credentials Updated March 01, 2023

Recorded as LETITIA JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Registered Nurse (License #LN96749 in MA)

🟢
Initial NPI Registration & Enumeration March 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205535093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2023
Last Update: April 10, 2023
Sole Proprietor: No

Mailing Address

3088 Cranberry Hwy Ste A

East Wareham, MA 025384800

Phone: 5082957990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.