Rodney Johnson

Primary specialty

ContractorTaxonomy code 171W00000X

License

9174681 Issued in AZ

Practice address

6308 W Copper Leaf Dr
Tucson, AZ 85757-7539

Phone

(630) 379-2523

NPI assigned

Aug 29, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1073095840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486608",
            "telephone_number": "520-721-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 W COPPER LEAF DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857577539",
            "telephone_number": "630-379-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RODNEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "AZ",
            "license": "9174681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS BEHAVIORAL HEALTH THERAPEUTIC FOSTER CARE",
            "identifier": "9174681",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee M Johnson, LCSW
• Richard Hillsman Johnson Jr., MD
• Richard W Johnson, M.D.
• Robert K Johnson, M.D.
• Robert R Johnson, MD
• Roger Carl Johnson, P.T.
• Ronald Johnson
• Ronald Wayne Johnson, M.D.
• Russell D Johnson
• Ryan Kenji Johnson, M.D.

• Contractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.