Carol Johnson

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

5230 W Patrick LN Ste 140
Las Vegas, NV 89118-5852

Phone

(702) 570-5104

NPI assigned

Jun 6, 2013

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1205274743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 W HORIZON RIDGE PKWY APT 2427",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125538",
            "telephone_number": "702-824-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 W PATRICK LN STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891185852",
            "telephone_number": "702-570-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelia Ann Johnson
• Carmella Donantoenette Johnson
• Carmen C. Johnson, M.S., CCC-SLP
• Carmen Shavonna Johnson
• Carnell Johnson
• Casey Johnson
• Celina Lynn Johnson, PA
• Cham'Pane Ta'Chell Johnson, RN
• Channel Johnson
• Chase Johnson

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.