Individual provider Active NPI

China Johnson

  • Administrator Registered Nurse
  • Aberdeen, MS
National Provider Identifier
1073233086
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
859219 Issued in MS
Practice address
20434 Old Houston Rd
Aberdeen, MS 39730-8548
Phone
(662) 436-0275
Fax
(662) 369-1727
NPI assigned
Aug 30, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 859219 MS
Administrator Registered Nurse 163WA2000X 859219 MS Primary

Addresses

Primary practice location

20434 Old Houston Rd
Aberdeen, MS 39730-8548

Mailing address

20434 Old Houston Rd
Aberdeen, MS 39730-8548
Phone (662) 436-0275

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

State licenses

LicenseStateTypeSpecialty
859219MSMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pressicare, Inc CurrentSince Oct 23, 2022 Accepting new patients
Pressicare, Inc CurrentSince Sep 4, 2022 Accepting new patients

Locations

20434 Old Houston Rd
Aberdeen, MS 39730
Phone (662) 369-0070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1073233086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20434 OLD HOUSTON RD",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397308548",
            "telephone_number": "662-436-0275",
            "fax_number": "662-369-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20434 OLD HOUSTON RD",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397308548",
            "telephone_number": "662-436-0275",
            "fax_number": "662-369-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "859219",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MS",
            "license": "859219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.