Active NPI
Akeira Lashelle Johnson, M.D.
- Internal Medicine Physician
- Milwaukee, WI
National Provider Identifier
1366679607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 55732
- Practice address
- 5000 W National Ave
Milwaukee, WI 53295 - Phone
- (414) 384-2000
- NPI assigned
- Jun 13, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55732 | WI | |
| Family Medicine Physician | 207Q00000X | 35.127011 | OH | |
| Internal Medicine Physician | 207R00000X | 55732 | WI | Primary |
Addresses
Primary practice location
5000 W National Ave
Milwaukee, WI 53295
Mailing address
5000 W National Ave
Milwaukee, WI 53295-0001
Phone (414) 384-2000
Other practice location 1
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000
Other practice location 2
5000 W National Ave
Milwaukee, WI 53295
Phone (414) 384-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366679607 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.127011 | OH | MD | Family Medicine Physician |
| 55732 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | 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.
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1366679607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53295",
"telephone_number": "414-384-2000"
}
],
"practiceLocations": [
{
"address_1": "2311 N Prospect Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532114445",
"country_code": "US",
"telephone_number": "414-319-3000",
"fax_number": "414-319-3033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 W National Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53295",
"country_code": "US",
"telephone_number": "414-384-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "AKEIRA",
"middle_name": "LASHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "55732",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.127011",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "55732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366679607",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.