Moenisha Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305303-1 Issued in NY

Practice address

1139 Walden Ave
Buffalo, NY 14211-2729

Phone

(716) 553-3550

NPI assigned

Jul 7, 2011

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1538456876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 WALDEN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112729",
            "telephone_number": "716-553-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 WALDEN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112729",
            "telephone_number": "716-553-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MOENISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305303-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kathleen Johnson, M.D.
• Michael Johnson, NP
• Michael George Johnson
• Michael P. Johnson, L.M.S.W.
• Michael Paul Johnson, MD
• Morris Johnson III, LPN
• Qwynton Qhai Johnson
• Renee Lynn Johnson, BA
• Riessa Johnson
• Ryan Scott Johnson, DC

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.