TYNEIKA JOVAN JOHNSON-DODGE LVN
NPI 1184292658
Licensed Vocational Nurse in San Diego, CA

Q: What is Tyneika Johnson-dodge's NPI number?

The NPI number for Tyneika Johnson-dodge is 1184292658. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Tyneika Johnson-dodge's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since June 11, 2021

928 BROADWAY, SAN DIEGO, CA 92101(619) 977-3716(619) 481-3075 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2022, Jun 11, 2021 (2 updates tracked since 2021).

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About Tyneika Jovan Johnson-dodge Lvn NPPES

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

TYNEIKA JOVAN JOHNSON-DODGE LVN (NPI 1184292658) is an individual licensed vocational nurse in San Diego, California, licensed in California (234008) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1184292658

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameTYNEIKA JOVAN JOHNSON-DODGECredential: LVN

Location Address928 BROADWAYSan Diego, CA 92101-5514

Mailing Address928 BroadwaySan Diego, CA 92101-5514 · (619) 977-3716 · Fax (619) 481-3075

Phone(619) 977-3716

Fax(619) 481-3075

Sole ProprietorNo

Enumeration DateJune 11, 2021

Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1184292658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 234008

Definition

A licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

928 BROADWAY, San Diego, CA 92101

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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.

KASSANDRA MARIE BARACEROS RN

Registered Nurse