Active NPI
Heath Johnson
- Driver
- Barnum, MN
National Provider Identifier
1205294121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- P556144959916
- Practice address
- 2478 Sunset LN
Barnum, MN 55707-8838 - Phone
- (218) 461-0657
- NPI assigned
- Feb 5, 2016
- Last updated
- Feb 5, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | P556144959916 | MN | Primary |
Addresses
Primary practice location
2478 Sunset LN
Barnum, MN 55707-8838
Mailing address
2478 Sunset LN
Barnum, MN 55707-8838
Phone (218) 461-0657
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 |
|---|---|---|---|
| P556144959916 | MN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Star Transportation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Taxi
- Barnum, MN
- NPI 1295193118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1205294121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2478 SUNSET LN",
"city": "BARNUM",
"state": "MN",
"postal_code": "557078838",
"telephone_number": "218-461-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2478 SUNSET LN",
"city": "BARNUM",
"state": "MN",
"postal_code": "557078838",
"telephone_number": "218-461-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HEATH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MN",
"license": "P556144959916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barnum, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.