Active NPI
Brianna Latrice Johnson, LMT
- Massage Therapist
- Farmington Hills, MI
National Provider Identifier
1376212597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501010867
- Practice address
- 30800 Northwestern Hwy Ste 222
Farmington Hills, MI 48334-2550 - Phone
- (248) 702-4860
- NPI assigned
- Sep 10, 2021
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501010867 | MI | Primary |
Addresses
Primary practice location
30800 Northwestern Hwy Ste 222
Farmington Hills, MI 48334-2550
Mailing address
30800 Northwestern Hwy Ste 222
Farmington Hills, MI 48334-2550
Phone (248) 702-4860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Farmington | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 7501010867 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1376212597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30800 NORTHWESTERN HWY STE 222",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342550",
"telephone_number": "248-702-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30800 NORTHWESTERN HWY STE 222",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342550",
"telephone_number": "248-702-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRIANNA",
"middle_name": "LATRICE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501010867",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Farmington",
"affiliation": "N",
"endpointDescription": "Soap Notes",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "30800 Northwestern Hwy Ste 222",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483342550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.