Individual provider Active NPI

Felicia Ann Johnson, DPM

  • Podiatrist
  • Akron, OH
National Provider Identifier
1235278219
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003438 Issued in OH
Practice address
585 White Pond Dr
Suite E
Akron, OH 44320-1115
Phone
(330) 869-0669
Fax
(330) 869-5769
NPI assigned
Feb 6, 2007
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003438 OH Primary

Addresses

Primary practice location

585 White Pond Dr
Suite E
Akron, OH 44320-1115

Mailing address

585 White Pond Dr
Suite E
Akron, OH 44320-1115
Phone (330) 869-0669

Other identifiers 1

IdentifierTypeStateIssuer
2769526MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003438OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aggeus Healthcare, P.C. Podiatrist Past Accepting new patients
Summit Behavioral Health Group, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1235278219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 WHITE POND DR",
            "address_2": "SUITE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201115",
            "telephone_number": "330-869-0669",
            "fax_number": "330-869-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 WHITE POND DR",
            "address_2": "SUITE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201115",
            "telephone_number": "330-869-0669",
            "fax_number": "330-869-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FELICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.