Active NPI
Carleah Johnson, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1154159754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024190700
- Practice address
- 2010 Greenbrier Rd.
J
Chesapeake, VA 23320-2619 - Phone
- (758) 413-5444
- Fax
- (757) 413-5440
- NPI assigned
- Jul 24, 2024
- Last updated
- Jul 28, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024190700 | VA | Primary |
Addresses
Primary practice location
2010 Greenbrier Rd.
J
Chesapeake, VA 23320-2619
Mailing address
2501 Markham St
Portsmouth, VA 23707-4229
Phone (484) 574-6939
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 |
|---|---|---|---|
| 0024190700 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- carleah.johnson.1@29322.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1154159754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 MARKHAM ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237074229",
"telephone_number": "484-574-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 GREENBRIER RD.",
"address_2": "J",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202619",
"telephone_number": "758-413-5444",
"fax_number": "757-413-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARLEAH",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024190700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.