Kelsey Johnson

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

99052419A Issued in IN

Practice address

11143 Parkview Plaza Dr
Suite 311
Fort Wayne, IN 46845-1727

Phone

(260) 482-3886

NPI assigned

Apr 16, 2013

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Northeast Indiana Genetic Counseling Center Inc

  • Clinical Genetics (M.D.) Physician
  • Fort Wayne, IN
  • NPI 1881678860
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1255774501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11143 PARKVIEW PLAZA DR",
            "address_2": "SUITE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451727",
            "telephone_number": "260-482-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11143 PARKVIEW PLAZA DR",
            "address_2": "SUITE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451727",
            "telephone_number": "260-482-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IN",
            "license": "99052419A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakiya Johnson
• Jayda Johnson
• Jennifer Lynne Johnson, AAHCC
• Joel Micah Johnson, DDS
• Josie Lyn Johnson, SLP
• Keyundrea Johnson
• Kirby Johnson, FNP-BC
• Laci Johnson, M.S.ED.
• Ladonna Johnson
• Laura Lee Johnson, MA CCCA

• Genetic Counselor (M.S.) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Genetic Counselor (M.S.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.