Melvena Johnson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227021103 Issued in IL

Practice address

900 Ridge Rd Ste 2D-E
Homewood, IL 60430-1933

Phone

(312) 609-9535

NPI assigned

Jul 24, 2020

Sex

Female

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

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1356950356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ALLEGHENY ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE 2D-E",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "312-609-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELVENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "22007100",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227021103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Marie Jimenez, M.D.
• Albert Joaquin Jr., DDS
• Alicia Johnson
• Barbara Johnson, D.T.
• Julie Jo Johnson, COTA
• Sidney Johnson, LSW
• Treymaine Johnson
• Silifat Iyabo Jones-Ibrahim, PMHNP
• Akira Jones
• Carly Nicole Jones, ED.D

• Massage Therapist in Homewood, IL
• Providers in Homewood, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.