Active NPI
Carson Leigh Ann Johnson, OTR/L
- Occupational Therapist
- Kingsport, TN
National Provider Identifier
1346739174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5876
- Practice address
- 2300 Pavilion Dr
Kingsport, TN 37660-4622 - Phone
- (423) 765-9655
- NPI assigned
- May 7, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5876 | TN | Primary |
Addresses
Primary practice location
2300 Pavilion Dr
Kingsport, TN 37660-4622
Mailing address
3539 Netherland Inn Rd Unit 19
Kingsport, TN 37660-7272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5876 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkback, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1346739174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3539 NETHERLAND INN RD UNIT 19",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PAVILION DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604622",
"telephone_number": "423-765-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARSON",
"middle_name": "LEIGH ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.