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Deactivated NPI 1164729687 Deactivated / Inactive NPI Female Practitioner

Willie Pearl Johnson , LPN

Licensed Practical Nurse • Euclid, 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, Willie Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 18, 2011
NPI Deactivation Date May 08, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Willie Johnson, LPN was a registered Licensed Practical Nurse practicing in Euclid, OH. Throughout an active medical career spanning 10 years, Willie Johnson provided care at the practice location at 930 E 248 ST until profile deactivation on 2021-05-08.

Practice Location & Contact Primary Location

Practice Address

930 E 248 St

Euclid, OH 441232408

Telephone 2167445716

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 PN094328

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, 2021

Record deactivated on May 08, 2021

NPI Profile Active December 23, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 23, 2015

Registered at 930 E 248 ST, EUCLID, OH 441232408 (Tel: 2167445716)

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Updated Business Mailing Address December 23, 2015

Registered at 930 E 248 ST, EUCLID, OH 441232408 (Tel: 2167445716)

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Provider Name / Credentials Updated December 23, 2015

Recorded as WILLIE JOHNSON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2015

Licensed Practical Nurse (License #PN094328 in OH)

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Initial NPI Registration & Enumeration February 18, 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: 1164729687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2011
Last Update: December 23, 2015
Deactivation Date: May 08, 2021

Mailing Address

930 E 248 St

Euclid, OH 441232408

Phone: 2167445716

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.