Jaquencia D Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LA8815 Issued in LA

Practice address

5425 Galeria Dr Ste F
Baton Rouge, LA 70816-8004

Phone

(225) 573-9081

Fax

(225) 349-8608

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1467100586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 RUSTON DR",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707145252",
            "telephone_number": "225-573-9081",
            "fax_number": "225-349-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 GALERIA DR STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168004",
            "telephone_number": "225-573-9081",
            "fax_number": "225-349-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAQUENCIA",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA8815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Allen Johnson Jr., PH.D.
• Jaclyn Marie Johnson, PA-C
• Jakira J Johnson
• Janice B Johnson, LPN
• Jantrell Ronalynn Johnson
• Jasma Chena Johnson
• Jasmine Johnson
• Jennifer Johnson, PST
• Jennifer J Johnson, M.S., L-SLP, CCC-SLP
• Jeri Benton Johnson, M.D.

• Massage Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.