Octavia J Johnson

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

7307 W Lisbon Ave
Milwaukee, WI 53216-2744

Phone

(920) 441-6238

NPI assigned

Sep 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1528949633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162744",
            "telephone_number": "920-441-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162744",
            "telephone_number": "920-441-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OCTAVIA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRANSPORTATION",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Taylor Johnson, RN
• Melody Marquris Johnson, LPN
• Morgan Atalie Johnson
• Nardalyn Johnson
• Norah Johnson, PHD RN CPNP
• Pamela S Johnson, MS, RN, FNP-BC, APNP
• Patricia Joyce Johnson
• Paula Dudycha Johnson, C.O.T.A
• Peter William Johnson, MD
• Portia Johnson

• Driver in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.