Monica B Johnson

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

2238 E Ginter Road
Sunnyside Unified School District No 12
Tuscan, AZ 95706

Phone

(520) 545-2137

Fax

(520) 545-2120

NPI assigned

Dec 18, 2006

Last updated

Jul 26, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Monica Broadfoot Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1063575264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 E GINTER ROAD",
            "address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12",
            "city": "TUSCAN",
            "state": "AZ",
            "postal_code": "95706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 E GINTER ROAD",
            "address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12",
            "city": "TUSCAN",
            "state": "AZ",
            "postal_code": "95706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONICA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592447",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "BROADFOOT JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.