Breanna Rena Johnston

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

379 Gaines Reed Rd
MC Intosh, AL 36553-6517

Phone

(251) 459-4742

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1194450569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 GAINES REED RD",
            "city": "MC INTOSH",
            "state": "AL",
            "postal_code": "365536517",
            "telephone_number": "251-459-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 GAINES REED RD",
            "city": "MC INTOSH",
            "state": "AL",
            "postal_code": "365536517",
            "telephone_number": "251-459-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BREANNA",
        "middle_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayou la Batre Area Health Development Board, Inc. (Southwest Alabama Health Services)
• Randy Ward Davidson, PHT
• Huguette Douyon, D.O.
• Encore Rehabilitation Inc (Encore Rehab of McIntosh)
• Richard Barry Gaston, CRNP
• Elizabeth Rae Johnston
• McConaghy Drug Store, Inc (McIntosh Drugs)
• McIntosh Rescue Squad, Inc.
• R. Michael Robinson, DMD, PC
• Rodney Michael Robinson, D.M.D.

• Student in an Organized Health Care Education/Training Program in McIntosh, AL
• Providers in McIntosh, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.