Elizabeth Anne Johnson, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

09058 Issued in AZ

Practice address

1355 S Higley Rd
Building 5, Suite 111
Gilbert, AZ 85296-4799

Phone

(480) 474-4173

Fax

(480) 237-9727

NPI assigned

Dec 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Anne Farrell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A Brighter Avenue LLC

  • Speech-Language Pathologist
  • Mesa, AZ
  • NPI 1467709691
  NPD (past)

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355011200000",
    "number": "1376888925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 E VALLEY VISTA LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504730",
            "telephone_number": "602-828-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "BUILDING 5, SUITE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-474-4173",
            "fax_number": "480-237-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-09",
        "last_updated": "2012-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "AZ",
            "license": "09058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FARRELL",
            "middle_name": "ANNE",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameshia Johnson
• Cassandra Johnson
• Chanelle Johnson, LMFT
• Curtis Dale Johnson, D.D.S.
• Demari Johnson
• Elizabeth Anne Johnson
• Elizabeth Keyser Johnson, RBT
• Estefana Johnson, LMSW
• Iman Lee Johnson, OTR/L
• James C Johnson, DMD

• Music Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Music Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.