Andrea Rae Johnston, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC082 Issued in KY

Practice address

306 Middletown Park PL Ste C
Louisville, KY 40243-2517

Phone

(502) 742-8613

NPI assigned

Jun 6, 2013

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1508204033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 BROWNSBORO GLEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411198",
            "telephone_number": "714-357-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MIDDLETOWN PARK PL STE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432517",
            "telephone_number": "502-742-8613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 E Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021218",
            "country_code": "US",
            "telephone_number": "502-588-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ANDREA",
        "middle_name": "RAE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KY",
            "license": "AC082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lynn Johnson, DNP, AGACNP-BC, SCRN
• Wendy Jo Johnson, LPCC LICENSED PROFES
• William R Johnson, DMD
• Christopher Lars Johnsrude, MD
• Johnston Counseling & Consulting LLC
• Beth Johnston
• Brenda Johnston, APRN
• Jennifer Johnston
• Kaymie Marie Johnston, APRN
• Kelly Lynn Johnston, APRN

• Acupuncturist in Louisville, KY
• Providers in Louisville, KY by specialty
• Acupuncturist in Kentucky

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

Verify at the official NPI Registry.