Carol Adrienne Johnson

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

032317 Issued in NC

Practice address

2509 Rolling Pines Ave
Durham, NC 27703-5933

Phone

(919) 598-6416

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Adrienne Johnson Professional name

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1366564890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 ROLLING PINES AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035933",
            "telephone_number": "919-598-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 ROLLING PINES AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035933",
            "telephone_number": "919-598-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "ADRIENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "032317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "JOHNSON",
            "middle_name": "ADRIENNE",
            "credential": "CEO/QP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beverly Johnson, M.ED CCC-SLP
• Beverly Ann Johnson, ADMINISTRATOR
• Breonne Johnson
• Caprisse Alishe Johnson, MS, RDN, CSO, LDN
• Carlton Johnson
• Catriona Elspeth Johnson, MSW, LCSW-A
• Chandra Lanette Johnson
• Chelsea Johnson, PA-C
• Chelsea Johnson
• Courtney Michelle Johnson, MSW, LCSW-A

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.