Active NPI
Apreshana Mataysha Wilina Lee-Johnson
- Case Manager/Care Coordinator
- Fresno, CA
National Provider Identifier
1043973209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2747 N Redda Rd
Fresno, CA 93737-9619 - Phone
- (559) 375-1413
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | Primary |
Addresses
Primary practice location
2747 N Redda Rd
Fresno, CA 93737-9619
Mailing address
342 W Richert Ave
Clovis, CA 93612-5049
Phone (559) 598-4733
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients | |
| Courage to Change, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foster Care Agency
- Exeter, CA
- NPI 1912368176
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1033875885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1043973209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 W RICHERT AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936125049",
"telephone_number": "559-598-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 N REDDA RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937379619",
"telephone_number": "559-375-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-JOHNSON",
"first_name": "APRESHANA",
"middle_name": "MATAYSHA WILINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.