Melanie Megan Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

711429 Issued in CA

Practice address

1066 Plumas Ave
Oroville, CA 95965-3231

Phone

(530) 403-6837

NPI assigned

Sep 10, 2021

Reactivated

Sep 30, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1003585100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 PLUMAS AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653231",
            "telephone_number": "530-403-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 PLUMAS AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653231",
            "telephone_number": "530-403-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELANIE",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "deactivation_date": "2021-09-13",
        "reactivation_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "711429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Olaf Johansson, MD PHD
• John P Clay MD Inc
• Elise Faith Johnson
• Jamie Susann Johnson
• Kathleen Patricia Johnson
• Miranda Lee Johnson, ACSW
• Elizabeth Anne Johnston, M.D.
• Michael David Johnston, M.D.
• Geraldine D Jones
• Ynette Jones

• Licensed Vocational Nurse in Oroville, CA
• Providers in Oroville, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.