Wanda Sue Johnson, RMF/CMF

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

4228 Garrett Rd
Durham, NC 27707-3430

Phone

(919) 489-7408

Fax

(919) 490-5909

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare Equipment, Inc.

  • Customized Equipment (DME)
  • Durham, NC
  • NPI 1316937980
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1043331440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 GARRETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073430",
            "telephone_number": "919-489-7408",
            "fax_number": "919-490-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 GARRETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073430",
            "telephone_number": "919-489-7408",
            "fax_number": "919-490-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RMF/CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taja M Johnson, MSW, LCSW-A
• Thea Victoria Jones Johnson
• Tirzah Jasiel Johnson, CRNA
• Tonica Vinetta Johnson, MD
• Vanessa M.P. Johnson, M.D., M.P.H.
• William Johnson III, LAT,ATC
• Cynthia Johnston, PHARM.D.
• Kendra Johnston, LPCA
• Kenzie Jane Bowen Johnston, M.D.
• Megan Nicole Johnston, LCMHC-A

• Specialist in Durham, NC
• Providers in Durham, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.