Danny Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

6519519 Issued in MD

Practice address

196 Shaker Rd
Albany, NY 12211-2028

Phone

(443) 935-8076

NPI assigned

Oct 11, 2022

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Lab and Wellness

  • Clinical Medical Laboratory
  • Bowie, MD
  • NPI 1316829807
  NPD Authorized official

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1396460358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112028",
            "telephone_number": "443-935-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112028",
            "telephone_number": "443-935-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "6519519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "6519519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Johnson-Williams, LCSW-R
• Alison Wilson Johnson, PHARM.D
• Bre-Anna Michele Johnson
• Carrie Beth Johnson, LMHC
• Danielle Bethany Johnson, LMHC
• Drasana Johnson, MCPS
• Felisa Johnson
• Garner Johnson, MD
• Kaylee Ann Johnson, MSW
• Kelly Chantal Johnson

• Licensed Practical Nurse in Albany, NY
• Providers in Albany, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.