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Deactivated NPI 1942337795 Deactivated / Inactive NPI Female Practitioner

Beverly J Johnson , LPN

Licensed Practical Nurse • Caledonia, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Beverly Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2007
NPI Deactivation Date May 08, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Beverly Johnson, LPN was a registered Licensed Practical Nurse practicing in Caledonia, OH. Throughout an active medical career spanning 18 years, Beverly Johnson provided care at the practice location at 109 CENTER ST until profile deactivation on 2025-05-08.

Practice Location & Contact Primary Location

Practice Address

109 Center St

Caledonia, OH 433149493

Telephone 7408021673
Fax 4198452075

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Caledonia, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Caledonia, OH (13034 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN 065827 MEDS

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2025

Record deactivated on May 08, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 109 CENTER ST, CALEDONIA, OH 433149493 (Tel: 7408021673)

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Updated Business Mailing Address July 08, 2007

Registered at 109 CENTER ST, CALEDONIA, OH 433149493 (Tel: 7408021673)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BEVERLY JOHNSON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #PN 065827 MEDS in OH)

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Initial NPI Registration & Enumeration February 28, 2007

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: 1942337795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: July 08, 2007
Deactivation Date: May 08, 2025

Mailing Address

109 Center St

Caledonia, OH 433149493

Phone: 7408021673

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.