TYREE SIMONE JOHNSON
NPI 1306636923
Home Health Aide in La Vista, NE

The NPI number for Tyree Johnson is 1306636923. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

The NPPES record for Tyree Johnson was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2025

7200 S 84TH ST STE 6, LA VISTA, NE 68128(531) 999-2503(531) 999-2504 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tyree Simone Johnson NPPES

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

TYREE SIMONE JOHNSON (NPI 1306636923) is an individual home health aide in La Vista, Nebraska and active in the NPI registry since May 2025.

NPI1306636923

Entity TypeIndividualMale

Primary Taxonomy374U00000X

Provider Legal NameTYREE SIMONE JOHNSON

Location Address7200 S 84TH ST STE 6La Vista, NE 68128-2116

Mailing Address7200 S 84th St Ste 6La Vista, NE 68128-2116 · (531) 999-2503 · Fax (531) 999-2504

Fax(531) 999-2504

Sole ProprietorNo

Enumeration DateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1306636923 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

7200 S 84TH ST STE 6, La Vista, NE 68128

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

Home Health