Geraldine Morehead-Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704093654 Issued in MI

Practice address

9605 Grand River Ave
Detroit, MI 48204-2139

Phone

(313) 834-5930

NPI assigned

Oct 21, 2019

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

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Nardin Park Recovery Center,Inc.

  • Methadone Clinic
  • Detroit, MI
  • NPI 1033251269
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1053954354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21830 AVON RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042139",
            "telephone_number": "313-834-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9605 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482042139",
            "country_code": "US",
            "telephone_number": "313-834-5930",
            "fax_number": "313-834-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREHEAD-JOHNSON",
        "first_name": "GERALDINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704093654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Christine Morden, RN, BSN
• Zachary R Morden
• Cheryl J. Mordis, M.D.
• More Than Conquerors
• Lisa Michelle Moreasun, M.A. CCC-SLP
• Barbara D'Agnoluzzo Moreira, M.D.
• Sandra Moreland, MSW
• Gretchen Morelli
• Hannah L Morello, MSN, RN
• James Vincent Morency, MS OLA

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.