SHANE JOHNSON
NPI 1508258567
Licensed Practical Nurse in Canton, OH

Q: What is Shane Johnson's NPI number?

The NPI number for Shane Johnson is 1508258567. It was assigned to this individual provider in the NPPES registry on February 28, 2015.

Q: What is Shane Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Johnson was last updated on February 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 28, 2015

927 SMITH AVE SW, CANTON, OH 44706(234) 300-1630 Get Directions Write a Review

NPPES record last updated: February 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane Johnson NPPES

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

SHANE JOHNSON (NPI 1508258567) is an individual licensed practical nurse in Canton, Ohio, licensed in Ohio (PN-143859-M-IV) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1508258567

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHANE JOHNSON

Location Address927 SMITH AVE SWCanton, OH 44706-1468

Mailing Address927 Smith Ave SwCanton, OH 44706-1468 · (234) 300-1630

Phone(234) 300-1630

Sole ProprietorNo

Enumeration DateFebruary 28, 2015

✔ NPI 1508258567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN-143859-M-IV

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

927 SMITH AVE SW, Canton, OH 44706

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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 Shane Johnson's NPI number?

The NPI number for Shane Johnson is 1508258567. It was assigned to this individual provider in the NPPES registry on February 28, 2015.

Where is Shane Johnson located?

Shane Johnson practices at 927 Smith Ave SW, Canton, OH 44706. The listed phone number is (234) 300-1630.

What is Shane Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shane Johnson was last updated on February 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.