Michaela Juliet Johnson, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CO006801 Issued in NC

Practice address

1399 Westgate Center Dr
Winston Salem, NC 27103-2934

Phone

(301) 448-5648

Fax

(336) 768-4869

NPI assigned

Oct 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1043092349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CREEKSHIRE WAY APT 346",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034055",
            "telephone_number": "301-448-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032934",
            "telephone_number": "301-448-5648",
            "fax_number": "336-768-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAELA",
        "middle_name": "JULIET",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NC",
            "license": "CO006801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashawnda Johnson
• Makayla Summer Johnson, PA-C
• Matthew Quay Johnson, PT
• Maurice Charles Johnson
• Melissa Gail Johnson, MS, CCC-SLP
• Michele Anne Johnson, PA-C
• Michelle Jackson Johnson, PHARM D
• Nell Pollard Johnson, MD
• Nicci-Amarya Johnson
• Paula Johnson, LPC

• Orthotist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Orthotist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.