Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyree Simone Johnson

Individual provider Home Health Aide · NPI 1306636923

Tyree Simone Johnson is a Home Health Aide in LA Vista, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7200 S 84th St Ste 6
LA Vista, NE 68128-2116
Phone: (531) 999-2503
Fax: (531) 999-2504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1306636923
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address7200 S 84th St Ste 6, La Vista, NE 68128-2116

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