Kayla Sue Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

500 S Hamilton St
Saginaw, MI 48602-1511

Phone

(989) 799-6020

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2018.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1194296541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8457 WEBSTER RD APT 5",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238437",
            "telephone_number": "989-326-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S HAMILTON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021511",
            "telephone_number": "989-799-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janessa Johnson
• Jasmine Johnson
• Jeffrey Aaron Johnson, PHARMD
• Jennifer Marie-Smith Johnson, PA-C
• John Brian Johnson, MD
• Kimberly Sue Johnson, LMSW
• Lee Johnson
• Leigha Irene Johnson
• Madison Johnson
• Marcella Marie Johnson

• All providers in Saginaw, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.