Active NPI
Loriel Johnson, CHES
- Health Educator
- Bronx, NY
National Provider Identifier
1124584859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 022115
- Practice address
- 4234 Bronx Blvd
Bronx, NY 10466-2668 - Phone
- (718) 801-3642
- NPI assigned
- Feb 19, 2019
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 022115 | NY | Primary |
Addresses
Primary practice location
4234 Bronx Blvd
Bronx, NY 10466-2668
Mailing address
4234 Bronx Blvd
Bronx, NY 10466-2668
Phone (347) 341-4300
Other practice location 1
1621 Eastchester Rd
Bronx, NY 10461-2604
Phone (718) 405-8040 ext. 2556
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022115 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1124584859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 BRONX BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104662668",
"telephone_number": "347-341-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 BRONX BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104662668",
"telephone_number": "718-801-3642"
}
],
"practiceLocations": [
{
"address_1": "1621 Eastchester Rd",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104612604",
"country_code": "US",
"telephone_number": "718-405-8040 x2556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LORIEL",
"credential": "CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "022115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.