Active NPI
Wayne Anthony Johnson, RRT
- General Care Registered Respiratory Therapist
- Terry, MS
National Provider Identifier
1043653033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Registered Respiratory Therapist
- License
- 1664
- Practice address
- 205 Pleasant Lakes RDG
Terry, MS 39170-8223 - Phone
- (601) 506-3058
- NPI assigned
- Apr 10, 2013
- Last updated
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Registered Respiratory Therapist | 2279G1100X | 1664 | MS | Primary |
Addresses
Primary practice location
205 Pleasant Lakes RDG
Terry, MS 39170-8223
Mailing address
205 Pleasant Lakes RDG
Terry, MS 39170-8223
Phone (601) 506-3058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1664 | MS | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1043653033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PLEASANT LAKES RDG",
"city": "TERRY",
"state": "MS",
"postal_code": "391708223",
"telephone_number": "601-506-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PLEASANT LAKES RDG",
"city": "TERRY",
"state": "MS",
"postal_code": "391708223",
"telephone_number": "601-506-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WAYNE",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "MS",
"license": "1664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terry, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.