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DEDRA JOHNSON
NPI 1063719615
Student in an Organized Health Care Education/Training Program in Westerville, OH

Active since February 17, 2011
187 W SCHROCK RD, WESTERVILLE, OH 43081(614) 355-8315(614) 355-8361 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dedra Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRA JOHNSON (NPI 1063719615) is an individual student in an organized health care education/training program in Westerville, Ohio and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1063719615
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEDRA JOHNSON
Location Address187 W SCHROCK RDWesterville, OH 43081-2890
Mailing AddressPo Box 715194Columbus, OH 43271-5194 · (614) 355-8004 · Fax (614) 355-0509
Phone(614) 355-8315
Fax(614) 355-8361
Sole ProprietorNo
Enumeration DateFebruary 17, 2011
✔ NPI 1063719615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
187 W SCHROCK RD, Westerville, OH 43081
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Other Identifiers 1

Medicaid08258OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY WRIGHT
Behavior Analyst
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-7500
TONI BOWLES
Behavior Technician
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-7500
MRS. JESSICA ELIZABETH LIVENGOOD PTA
Physical Therapy Assistant
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-7500
ASHLEY SCHNEIDER
Student in an Organized Health Care Education/Training Program
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-8315
CARLYN LOVE BA
Case Manager/Care Coordinator
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-7500
BENJAMIN WILEY BA
Case Manager/Care Coordinator
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-7500
KRISTIN MILLER
Student in an Organized Health Care Education/Training Program
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-8315
KRISTIN DIMARCO BS
Student in an Organized Health Care Education/Training Program
187 W SCHROCK RD
WESTERVILLE, OH 43081
Franklin County (614) 355-8315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedra Johnson's NPI number?

The NPI number for Dedra Johnson is 1063719615. It was assigned to this individual provider in the NPPES registry on February 17, 2011.

Where is Dedra Johnson located?

Dedra Johnson practices at 187 W Schrock Rd, Westerville, OH 43081. The listed phone number is (614) 355-8315.

What is Dedra Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dedra Johnson was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.