Active NPI
Machelle Johnson
- Peer Specialist
- Mesquite, NV
National Provider Identifier
1275936189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 61 N Willow St
No. 4
Mesquite, NV 89027-4785 - Phone
- (702) 346-4696
- Fax
- (702) 346-4699
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
61 N Willow St
No. 4
Mesquite, NV 89027-4785
Mailing address
61 N Willow St
No. 4
Mesquite, NV 89027-4785
Phone (702) 346-4696
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1275936189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 N WILLOW ST",
"address_2": "NO. 4",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890274785",
"telephone_number": "702-346-4696",
"fax_number": "702-346-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 N WILLOW ST",
"address_2": "NO. 4",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890274785",
"telephone_number": "702-346-4696",
"fax_number": "702-346-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MACHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.