Active NPI
Nedra Kay Johnson, M.F.T.
- Marriage & Family Therapist
- Eureka, CA
National Provider Identifier
1437372711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 40323
- Practice address
- 3172 Walford Ave
Suite 4
Eureka, CA 95503-4827 - Phone
- (707) 269-0413
- Fax
- (707) 269-0413
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 40323 | CA | Primary |
Addresses
Primary practice location
3172 Walford Ave
Suite 4
Eureka, CA 95503-4827
Mailing address
3172 Walford Avenue
Suite 4
Eureka, CA 95503
Phone (707) 269-0413
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1437372711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3172 WALFORD AVENUE",
"address_2": "SUITE 4",
"city": "EUREKA",
"state": "CA",
"postal_code": "95503",
"telephone_number": "707-269-0413",
"fax_number": "707-269-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3172 WALFORD AVE",
"address_2": "SUITE 4",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034827",
"telephone_number": "707-269-0413",
"fax_number": "707-269-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NEDRA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.