Active NPI
Masha Johnson
- Doula
- Minneapolis, MN
National Provider Identifier
1487410015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1121 Jackson St NE Ste 100
Minneapolis, MN 55413-3051 - Phone
- (612) 353-6293
- NPI assigned
- Feb 21, 2024
- 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 |
|---|---|---|---|---|
| Doula | 374J00000X | MN | Primary |
Addresses
Primary practice location
1121 Jackson St NE Ste 100
Minneapolis, MN 55413-3051
Mailing address
1233 7TH St S Apt E202
Waite Park, MN 56387-1924
Phone (773) 507-7478
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": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1487410015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 7TH ST S APT E202",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871924",
"telephone_number": "773-507-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 JACKSON ST NE STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554133051",
"telephone_number": "612-353-6293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.