Michonda Celeste Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

339916 Issued in OH

Practice address

800 Trebisky Road
South Euclid, OH 44143-2852

Phone

(216) 577-9105

NPI assigned

Aug 19, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1043526668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TREBISKY ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441432852",
            "telephone_number": "216-577-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TREBISKY ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441432852",
            "telephone_number": "216-577-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHONDA",
        "middle_name": "CELESTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "339916",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "760281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Bondra DC Inc (May-Green Chiropractic Care Center)
• Brianna Nicole Johnson
• Candi Johnson, CLC
• Dionna Latrice Johnson
• Jordan Isaiah Johnson, LPN
• Tequila Johnson
• Hajiba Jonahi, LSW, MSW
• Andrew Kenneth Jones-Walker
• Akeya Jones, APRN AGCNS-BC
• Alicia Marie Jones, D.O.

• Registered Nurse in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.