Shantae Rae Johnson, DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

2971 SE 92ND Ave
Portland, OR 97266-1429

Phone

(503) 477-3187

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1437468469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 SE 92ND AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97266",
            "telephone_number": "503-477-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 SE 92ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661429",
            "telephone_number": "503-477-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANTAE",
        "middle_name": "RAE",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Johnson, MLS (ASCP)
• Sarah Keyser Johnson, LMT
• Satoya Johnson, CADC II
• Scotty A Johnson Jr.
• Selah Johnson, LMT
• Shawnda Lynette Johnson
• Sheqouya Johnson
• Sherri Ann Johnson, QMHA
• Sherry Colleen Johnson, NNP
• Stacey Elizabeth Johnson, LPC, LMHC

• Doula in Portland, OR
• Providers in Portland, OR by specialty
• Doula in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.