Individual provider Active NPI

Yvette Johnson Towers, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1073805255
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
101528-30 Issued in WI
Practice address
3219 N 51St Blvd
Milwaukee, WI 53216-3235
Phone
(414) 771-0543
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 101528-30 WI Primary

Addresses

Primary practice location

3219 N 51St Blvd
Milwaukee, WI 53216-3235

Mailing address

3219 N 51St Blvd
Milwaukee, WI 53216-3235
Phone (414) 771-0543

Other names 1

  • Mrs. Yvette Johnson Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101528-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Impacthealth, LLC Current Accepting new patients
Impacthealth Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1073805255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 N 51ST BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163235",
            "telephone_number": "414-771-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 N 51ST BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163235",
            "telephone_number": "414-771-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON TOWERS",
        "first_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "101528-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "JOHNSON",
            "prefix": "MRS.",
            "credential": "MSN, RN, NCSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.