Willie Joyce Johnson, NURSING ASSISTANT

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230002612990406 Issued in MI

Practice address

15802 Lesure St
Detroit, MI 48227-3336

Phone

(877) 526-3186

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genuine Agape Care

  • Home Infusion Agency
  • Detroit, MI
  • NPI 1053555607
  NPD (past) Authorized official

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1063656569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273336",
            "telephone_number": "877-526-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273336",
            "telephone_number": "877-526-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIE",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "NURSING ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230002612990406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violjeta Bogoevski Johnson, CRNA
• Vivian Johnson, M.D.
• Wallace Emanuel Johnson, MD
• Wendy Johnson, RN
• Willie B Johnson III
• Yulonda Johnson
• Zena Iman Johnson
• Johnsons Dialysis Management LLC (Bingham Care PT)
• Bronwyn Johnston, LMSW, CTP
• Diane Marie Johnston, LLPC

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.