Active NPI
Karmella Johnson, OTA
- Occupational Therapy Assistant
- Edmond, OK
National Provider Identifier
1316668676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1567
- Practice address
- 712 NW 139TH St
Edmond, OK 73013-1911 - Phone
- (405) 845-8849
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1567 | OK | Primary |
Addresses
Primary practice location
712 NW 139TH St
Edmond, OK 73013-1911
Mailing address
712 NW 139TH St
Edmond, OK 73013-1911
Phone (405) 845-8849
Other practice location 1
712 NW 138th St
Edmond, OK 73013-1907
Phone (405) 845-8849
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": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1316668676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 NW 139TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131911",
"telephone_number": "405-845-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 NW 139TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131911",
"telephone_number": "405-845-8849"
}
],
"practiceLocations": [
{
"address_1": "712 NW 138th St",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730131907",
"country_code": "US",
"telephone_number": "405-845-8849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KARMELLA",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "1567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.