Individual Healthcare Provider
Jerrick Johnson, RN
Provider's NPPES record last updated: July 16, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1578301461
- Primary Specialty
- Registered Nurse — Rehabilitation
- Practice Location
- Maumelle, Arkansas
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:24 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Rehabilitation
Nursing Service Providers
Definition to come...
Taxonomy code 163WR0400X Personal Emergency Response Attendant
Emergency Medical Service Providers
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.
Taxonomy code 146D00000X
Provider-Reported License Information
- Registered Nurse (Arkansas)
- 218478
- Personal Emergency Response Attendant (Arkansas)
- 11221112610
Practice Locations
Practice Location
100 Commercial Park Ct Apt 145
Maumelle, Arkansas 72113-6992
Phone: (501) 416-8867
Record Information
- Enumeration Date
- July 16, 2024
- Provider's NPPES Record Last Updated
- July 16, 2024
- Certification Date
- July 16, 2024
- NPISignal NPPES Dataset
- August 2026
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