Tameca Lazell Johnson, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003393 Issued in GA

Practice address

220 Lanier Ave E
Fayetteville, GA 30214-1604

Phone

(404) 452-9326

NPI assigned

Nov 6, 2008

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

Other names 1

• Tranquil Escape Professional name

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1174777932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PEBBLESTUMP PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691619",
            "telephone_number": "404-452-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LANIER AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141604",
            "telephone_number": "404-452-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMECA",
        "middle_name": "LAZELL",
        "name_prefix": "Ms.",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRANQUIL",
            "last_name": "ESCAPE",
            "credential": "THERAPEUTIC SERVICES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kettely Jeanne Johnson, LCSW
• Kyle H Johnson, LPC
• Melissa Kaye Johnson, PT, CWS
• Miles Johnson, M.D.
• Rachel Johnson, LCSW
• William Johnson, LPC
• Francesca Mokry Johnston, PT, DPT
• Joiner Dental LLC
• Janice Dorsey Joiner, CNM MSN
• Shahnazz Qamar Jones Hays

• Massage Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.