Active NPI
Debra Johnson
- Personal Care Attendant
- Upper Marlboro, MD
National Provider Identifier
1467026039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 616 Harry S Truman Dr
Upper Marlboro, MD 20774-2062 - Phone
- (202) 534-7574
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
616 Harry S Truman Dr
Upper Marlboro, MD 20774-2062
Mailing address
616 Harry S Truman Dr
Upper Marlboro, MD 20774-2062
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": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1467026039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 HARRY S TRUMAN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 HARRY S TRUMAN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742062",
"telephone_number": "202-534-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
- JLW, Inc. LLC (JLW Home Health Care Services)
- Jma Mental Health and Psychiatric Services LLC
- Melveena Johnson-Bolden, PMHNP-BC
- Arvel Johnson, RBT
- Christen Erika Johnson
- Denvia B Johnson, PA C
- Monica L Johnson, LCPC
- Monique Deon Johnson, CRNP
- Olayemi O Johnson, PMHNP
- Rasheed Olabode Johnson, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.