JANISE LACHELLE JOHNSON — NPI 1932588027 (Licensed & Credentialed Licensed Practical Nurse in CAHOKIA, IL)

CMS-1500 Box 24J / 33a • NPI

1932588027

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

164W00000X

Licensed & Credentialed Licensed Practical Nurse

Box 32 Service Location & ZIP+4

2474 RENOIS LN, CAHOKIA, IL, 62206-3015

✓ 9-Digit EDI 837 ZIP+4 (62206-3015)

Practice Phone & Referral Fax

(618) 799-2454

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1932588027 (JANISE LACHELLE JOHNSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1932588027` (NPI-1 Individual Practitioner)
Provider / Legal Name	JANISE LACHELLE JOHNSON
Plain-English Specialty	Licensed & Credentialed Licensed Practical Nurse NUCC Code: `164W00000X` (Licensed Practical Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2474 RENOIS LN, CAHOKIA, IL, 62206-3015
Practice Telephone / Fax	Tel: (618) 799-2454
Administrative Mailing Address	2474 RENOIS LN, CAHOKIA, IL, 62206-3015
Enumeration & Last Sync	Enumerated: 2015-05-22 \| CMS Record Updated: 2015-05-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2474 RENOIS LN, CAHOKIA, IL, 62206-3015

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Plain-English Taxonomy & CMS Crosswalk (164W00000X)

What Does Taxonomy Code 164W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Practical Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JANISE LACHELLE JOHNSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: IL \| License: `043115886` \| Primary: Yes (Primary)
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: MO \| License: `2013021137` \| Primary: Secondary
`183700000X` — Pharmacy Technician Plain English: Licensed & Credentialed Pharmacy Technician	State: IL \| License: `049.211871` \| Primary: Secondary
`183700000X` — Pharmacy Technician Plain English: Licensed & Credentialed Pharmacy Technician	State: MO \| License: `2013012431` \| Primary: Secondary

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JANISE LACHELLE JOHNSON (NPI #1932588027)