Active NPI
Brooke Danette Johnson-Smith, MS, OTR/L
- Occupational Therapist
- King, NC
National Provider Identifier
1073995387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8178
- Practice address
- 106 Calloway CT
Apt. 202
King, NC 27021-8440 - Phone
- (828) 719-9238
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8178 | NC | Primary |
Addresses
Primary practice location
106 Calloway CT
Apt. 202
King, NC 27021-8440
Mailing address
106 Calloway CT
Apt. 202
King, NC 27021-8440
Phone (828) 719-9238
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8178 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1073995387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CALLOWAY CT",
"address_2": "APT. 202",
"city": "KING",
"state": "NC",
"postal_code": "270218440",
"telephone_number": "828-719-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CALLOWAY CT",
"address_2": "APT. 202",
"city": "KING",
"state": "NC",
"postal_code": "270218440",
"telephone_number": "828-719-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-SMITH",
"first_name": "BROOKE",
"middle_name": "DANETTE",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.