JAEDYN MACKENZIE-CAROLYNE JOHNSON AAS
NPI 1215754288
Case Manager/Care Coordinator in Newport, TN

Q: What is Jaedyn Johnson's NPI number?

The NPI number for Jaedyn Johnson is 1215754288. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Q: What is Jaedyn Johnson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaedyn Johnson was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 23, 2024

215 HEDRICK DR, NEWPORT, TN 37821(423) 623-5301(423) 625-0808 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jaedyn Mackenzie-carolyne Johnson Aas NPPES

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

JAEDYN MACKENZIE-CAROLYNE JOHNSON AAS (NPI 1215754288) is an individual case manager/care coordinator provider in Newport, Tennessee and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1215754288

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameJAEDYN MACKENZIE-CAROLYNE JOHNSONCredential: AAS

Location Address215 HEDRICK DRNewport, TN 37821-2902

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355

Phone(423) 623-5301

Fax(423) 625-0808

Sole ProprietorNo

Enumeration DateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1215754288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

215 HEDRICK DR, Newport, TN 37821

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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.

MRS. TINA MARIE HURLEY FNP-C

Nurse Practitioner (Family)