Individual provider Active NPI

Christa Janae Johnson, CMA

  • Doula
  • Ypsilanti, MI
National Provider Identifier
1447932090
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
47 N Huron St
Ypsilanti, MI 48197-2607
Phone
(734) 484-3600
NPI assigned
Aug 3, 2023
Reactivated
Nov 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X MI Primary

Addresses

Primary practice location

47 N Huron St
Ypsilanti, MI 48197-2607

Mailing address

2127 Golfside Rd
Ypsilanti, MI 48197-8579
Phone (734) 460-4738

Other practice location 1

2127 Golfside Rd
Ypsilanti, MI 48197-8579
Phone (734) 460-4738

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
Credentials
Certified Medical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1447932090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978579",
            "telephone_number": "734-460-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972607",
            "telephone_number": "734-484-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 Golfside Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978579",
            "country_code": "US",
            "telephone_number": "734-460-4738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTA",
        "middle_name": "JANAE",
        "credential": "CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-08",
        "deactivation_date": "2023-08-08",
        "reactivation_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.