Andie Johnson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26412 Issued in OR

Practice address

1245 Charnelton St
Eugene, OR 97401-6214

Phone

(541) 206-4471

NPI assigned

Jul 21, 2022

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

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205561495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 BLAZER AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974044205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016214",
            "telephone_number": "541-206-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Willamette St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014093",
            "country_code": "US",
            "telephone_number": "541-762-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamra Johns, R.D.H
• Celina Victoria Johnson Hess, LMT
• Alese Johnson
• Alexandria Berlin Johnson
• Amy Kayleen Johnson, MS, LPC
• Barbara Johnson, FNP
• Bradley Thiren Johnson, RPH,CGP,CDM
• Cassandra Alaine Johnson, LPN
• Cheryllynn Elizabeth Johnson
• Darryl Johnson

• Massage Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.