Anastacia Michelle Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

L1-0074435 Issued in DE

Practice address

2301 S Broad St
Philadelphia, PA 19148-3542

Phone

(215) 952-9000

NPI assigned

Aug 25, 2026

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

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1235046491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FLINTLOCK RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483542",
            "telephone_number": "215-952-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANASTACIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0074435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam P Johnson, MD/MPH
• Ahmaad Johnson, APRN
• Alexandrea Johnson, LMSW
• Aliyyah Johnson, MFT
• Amanda Kate Johnson, APRN
• Ann Michelle Johnson, MD
• Antoine Johnson
• Anwar Johnson, LPC
• Benjamin Marlow Johnson, RPH
• Bradley Eric Johnson, DO

• Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.