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SHADEZIAH JOHNSON
NPI 1821549890
Licensed Practical Nurse in Warren, OH

Active since October 14, 2016
2737 YOUNGSTOWN RD SE, WARREN, OH 44484(330) 369-8022 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Oct 14, 2016 (2 updates tracked since 2016).

About Shadeziah Johnson NPPES

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

SHADEZIAH JOHNSON (NPI 1821549890) is an individual licensed practical nurse in Warren, Ohio, licensed in Ohio (LPN.189077) and active in the NPI registry since October 2016. She maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1821549890
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHADEZIAH JOHNSON
Location Address2737 YOUNGSTOWN RD SEWarren, OH 44484-5002
Mailing Address2737 Youngstown Rd SeWarren, OH 44484-5002 · (330) 369-8022
Phone(330) 369-8022
Sole ProprietorYes
Enumeration DateOctober 14, 2016
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1821549890 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 · LPN.189077
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.
2737 YOUNGSTOWN RD SE, Warren, OH 44484
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Secondary Practice Location 1

Location 14930 Enterprise Dr NWWarren, OH 44481-8706 · Phone (330) 369-8022 ext. 153

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.

MISS AMANDA LEANN CAMERON RN
Registered Nurse
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
TAMIKA CALLINS CDCA
Substance Abuse Rehabilitation Facility
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
DIANE SMOLAK CDCA
Substance Abuse Rehabilitation Facility
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
TRACY ROBINSON CDCA
Substance Abuse Rehabilitation Facility
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
ROBERT WISSINGER LSW
Social Worker
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
GEORGE KINNARD JR
Counselor (Addiction (Substance Use Disorder))
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
KRISTA YOUNG CDCA
Counselor (Addiction (Substance Use Disorder))
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
KATHERINE STAFFORD
Social Worker
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022

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 Shadeziah Johnson's NPI number?

The NPI number for Shadeziah Johnson is 1821549890. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Shadeziah Johnson located?

Shadeziah Johnson practices at 2737 Youngstown Rd SE, Warren, OH 44484. The listed phone number is (330) 369-8022.

What is Shadeziah 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 Shadeziah Johnson was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.