Jennifer Leigh Johnson, N.D., L.AC.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

3063 Issued in OR

Practice address

936 SE Ankeny St
Portland, OR 97214-1300

Phone

(503) 232-3215

Fax

(866) 304-0330

NPI assigned

Nov 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Reconstructed Wellness, LLC

  • Naturopath
  • Portland, OR
  • NPI 1750889895

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1083087498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141300",
            "telephone_number": "503-232-3215",
            "fax_number": "866-304-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141300",
            "telephone_number": "503-232-3215",
            "fax_number": "866-304-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC174898",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Pauly Johnson, M.D.
• Jeff Johnson
• Jeffrey P Johnson, M.D.
• Jenna Alane Johnson, LPC, CADC-I
• Jennifer Christine Johnson, PHD
• Jeremy Russell Johnson, LPCA
• Jesse Johnson, M.A.
• Jessica Grace Johnson, LCSW
• Jessica Leigh Johnson
• Jessica Rene Johnson, CADC 1

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.