Kelly E Johnson, PHD

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1801 Century Park E FL 24
Los Angeles, CA 90067-2302

Phone

(888) 219-5299

NPI assigned

May 2, 2019

Last updated

May 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Inhealth Medical Services, Inc.

  • Health & Wellness Coach
  • Los Angeles, CA
  • NPI 1225965445
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1295390425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TALON DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295277478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CENTURY PARK E FL 24",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672302",
            "telephone_number": "888-219-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Johnson
• Katherine Johnson
• Kathrina Ambita Johnson, SW
• Katrina R. Johnson
• Keaishi L Johnson
• Kelsey Johnson
• Kelsey Ruth Johnson, CRNA
• Kemit B Johnson
• Kenneth Wayne Johnson, MD
• Kent Evan Johnson Jr.

• Health Educator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.