Active NPI
Veronica Lynn Johnson, OTR/L
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1225201544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1779
- Practice address
- 3713 Isleta Blvd SW
Albuquerque, NM 87105-5990 - Phone
- (505) 314-2212
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1779 | NM | Primary |
Addresses
Primary practice location
3713 Isleta Blvd SW
Albuquerque, NM 87105-5990
Mailing address
3713 Isleta Blvd SW
Albuquerque, NM 87105-5990
Phone (505) 314-2212
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 |
|---|---|---|---|
| 1779 | NM | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Camino Real Academy | 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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Albuquerque, NM
- NPI 1548619273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1225201544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 ISLETA BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871055990",
"telephone_number": "505-314-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 ISLETA BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871055990",
"telephone_number": "505-314-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VERONICA",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "1779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.