Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093083024 Individual Practitioner Female Practitioner

Shawntae Johnson , LPN

Licensed Practical Nurse • Euclid, OH

Professional Overview & Biography Verified Profile Summary

Shawntae Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Euclid, OH. Practice services are available at 21770 FULLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21770 Fuller Ave

Euclid, OH 441232763

Telephone 2163261834
Associated Practice Facility / Clinic
🏢 Families Affair Homecare Facility NPI 1740558741

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Euclid, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
169 Specialists

Practicing in Euclid, 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 PN122825

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1740558741

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2011

Registered at 21770 FULLER AVE, EUCLID, OH 441232763 (Tel: 2163261834)

📍
Updated Business Mailing Address December 05, 2011

Registered at 21770 FULLER AVE, EUCLID, OH 441232763 (Tel: 2163261834)

👤
Provider Name / Credentials Updated December 05, 2011

Recorded as SHAWNTAE JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2011

Licensed Practical Nurse (License #PN122825 in OH)

🟢
Initial NPI Registration & Enumeration December 05, 2011

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: 1093083024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2011
Last Update: December 05, 2011
Sole Proprietor: Yes

Mailing Address

21770 Fuller Ave

Euclid, OH 441232763

Phone: 2163261834

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.