Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821549890 Individual Practitioner Female Practitioner

Shadeziah Johnson

Licensed Practical Nurse • Warren, OH

Professional Overview & Biography Verified Profile Summary

Shadeziah Johnson is a registered healthcare professional specializing in Licensed Practical Nurse in Warren, OH. Practice services are available at 2737 YOUNGSTOWN RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2737 Youngstown Rd Se

Warren, OH 444845002

Telephone 3303698022
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Warren, OH

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

Practicing in Warren, 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

CMS Verified: 2025-07-10
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.189077

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.

Secondary Practice Locations

4930 Enterprise Dr Nw

Warren, OH 444818706

Phone: 3303698022

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Cameron , RN

Registered Nurse

NPI 1003240581

Registered Nurse

Tamika Callins , CDCA

Substance Abuse Rehabilitation Facility

NPI 1013404482

Chemical Dependency Counselor Assistant

Diane Smolak , CDCA

Substance Abuse Rehabilitation Facility

NPI 1013533173

Chemical Dependency Counselor Assistant

Tracy Robinson , CDCA

Substance Abuse Rehabilitation Facility

NPI 1023523032

Chemical Dependency Counselor Assistant

NPI 1023666500

Licensed Social Worker

George Kinnard Jr

Counselor - Addiction (Substance Use Disorder)

NPI 1023804358

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 10, 2025

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3303698022)

📍
Updated Business Mailing Address July 10, 2025

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3303698022)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2025

Licensed Practical Nurse (License #LPN.189077 in OH)

NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2016

Registered at 1227 NORTH RD APT 143, NILES, OH 444462246 (Tel: 3309780951)

📍
Updated Business Mailing Address October 14, 2016

Registered at 1227 NORTH RD APT 143, NILES, OH 444462246 (Tel: 3309780951)

👤
Provider Name / Credentials Updated October 14, 2016

Recorded as SHADEZIAH JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Home Health Aide

🟢
Initial NPI Registration & Enumeration October 14, 2016

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: 1821549890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2016
Last Update: July 10, 2025
Sole Proprietor: Yes

Mailing Address

2737 Youngstown Rd Se

Warren, OH 444845002

Phone: 3303698022

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.