Amber Marie Johnstin, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

776 N Plaza Dr
Saint Paul, MN 55120-1509

Phone

(651) 964-3446

NPI assigned

Nov 13, 2023

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

Other names 1

• Amber M Jacobson Former name

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1558135103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SMITH AVE S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551182068",
            "telephone_number": "651-755-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 N PLAZA DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551201509",
            "telephone_number": "651-964-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTIN",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "JACOBSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Springer Johnson, LMFT
• Susan Taylor Johnson, LICSW
• Todd Christopher Johnson, M.D.
• William Andrew Johnson, DDS
• William Hugo Johnson II, D.D.S.
• Cindy Johnston, M.S.
• Doneta Johnston
• Sara Kay Johnstone, M.D.
• Raydah Jokhadar, M.D
• Kristi Lynn Jolly, RN

• Massage Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.