Heather Rose Johnson

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

166 Centre Ave
Middleboro, MA 02346-2053

Phone

(508) 536-8457

NPI assigned

Dec 28, 2017

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

Other names 1

• Heather O'Reilly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1275049249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CENTRE AVE",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462053",
            "telephone_number": "508-536-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CENTRE AVE",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462053",
            "telephone_number": "508-536-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "O'REILLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasam, PC
• Shirley Jenkins-Pottel, LMHC
• Jiri R. Kudlicka, MD
• Ryan Joachim
• Amber Marie Johnson
• Arjanai Jones
• Samantha Jones
• Cheryl Anne Jordan
• Joseph B. Flaherty III, DMD, P.C.
• Journey to Self Services

• Early Intervention Provider Agency in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Early Intervention Provider Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.