Denise Oliver Johnson-Mason

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

6650 Issued in VA

Practice address

3128 Illinois Ave
Norfolk, VA 23513-4128

Phone

(757) 228-0724

NPI assigned

Nov 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1114792942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 ILLINOIS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134128",
            "telephone_number": "757-228-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 ILLINOIS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134128",
            "telephone_number": "757-228-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-MASON",
        "first_name": "DENISE",
        "middle_name": "OLIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "VA",
            "license": "6650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel John
• Paul John, RPH
• Sarah Susan John
• Charlotte Johnson Foster
• Celestine D Johnson-Gardner
• Alani Johnson, PA
• Angela M Johnson, LPC
• April J Johnson
• Ariana Johnson, MD
• Ashley Joanne Johnson

• Developmental Disabilities Clinic/Center in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Developmental Disabilities Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.