Debe Anne Johnson, MASSAGE THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT - 06853 Issued in AZ

Practice address

2065 Hwy 95
Ste 51
Bullhead City, AZ 86442

Phone

(928) 763-4737

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245351238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 ESMERELDA DR.",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864291124",
            "telephone_number": "928-404-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 HWY 95",
            "address_2": "STE 51",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-763-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBE",
        "middle_name": "ANNE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "MT - 06853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennings-Larson Family Dentistry
• Seth Graff Jennings, DMD
• Thadd Jennings, D.D.S.
• Dana Johansen
• Darren Keith Johnson, ACNPC-AG
• Whitney Johnson
• Eric Brendon Jones, O.D.
• Kaylyn Jones, CNA
• Laree Ann Jones, MASTER SOCIAL WORKER
• Danielle Jordan

• Specialist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.