Ronda Johnson, LPN
Licensed Practical Nurse in Smithville, TN. Individual provider (NPI-1).
NPI number1679976336
StatusActive
Last updated in NPPESOct 8, 2014
Details
- NPI
- 1679976336
- Entity type
- Individual (NPI-1)
- Name
- Ronda Johnson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2014
- Last updated
- Oct 8, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 61424 | TN | Yes |
Practice location
254 Tiger DrSmithville, TN 37166-6812
Phone 615-597-7599 · Fax 615-597-1349
Mailing address
254 Tiger DrSmithville, TN 37166-6812
Phone 615-597-7599 · Fax 615-597-1349
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Licensed Practical Nurse providers in Smithville, TN
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All 6 Licensed Practical Nurse providers in Smithville · All 180 providers in Smithville
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