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JAVAN TERRY ANDREW LEE JOHNSON
NPI 1629931639
Technician - Personal Care Attendant in Las Vegas, NV

Active since December 05, 2025
2110 E FLAMINGO RD STE 315, LAS VEGAS, NV 89119(775) 786-4999 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Javan Terry Andrew Lee Johnson NPPES

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

JAVAN TERRY ANDREW LEE JOHNSON (NPI 1629931639) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1629931639
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJAVAN TERRY ANDREW LEE JOHNSON
Location Address2110 E FLAMINGO RD STE 315Las Vegas, NV 89119-5193
Mailing Address2110 E Flamingo Rd Ste 315Las Vegas, NV 89119-5193 · (775) 786-4999
Phone(775) 786-4999
Sole ProprietorNo
Enumeration DateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1629931639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2110 E FLAMINGO RD STE 315, Las Vegas, NV 89119
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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.

DIANA DRAPES
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
DEGE ASHAGRE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
TYLER ELMORE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (877) 786-4999
JENNIFER URIBE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (877) 786-4999
ANITA G PEDERSON
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
CLYDE MACDONALD
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (877) 786-4999
HEIDI BURKHOLDER
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
MARY FOX
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999

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 Javan Terry Johnson's NPI number?

The NPI number for Javan Terry Johnson is 1629931639. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Where is Javan Terry Johnson located?

Javan Terry Johnson practices at 2110 E Flamingo Rd Ste 315, Las Vegas, NV 89119. The listed phone number is (775) 786-4999.

What is Javan Terry Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Javan Terry Johnson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.