Marion Johnson

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

1040399 Issued in DC

Practice address

9633 Clocktower LN
Columbia, MD 21046-1877

Phone

(240) 535-6111

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1578185369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 CLOCKTOWER LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461877",
            "telephone_number": "240-535-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 CLOCKTOWER LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461877",
            "telephone_number": "240-535-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R187659",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "DC",
            "license": "1040399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Dannielle Johnson
• Kellie Simpson Johnson, M.S., CCC-SLP
• Kimberly Johnson, LCPC
• Kimberly A Johnson, REGISTERED NURSE
• La Brea Johnson
• Mechele Antoinette Johnson, 246ZC0007X
• Myrnie Johnson, RN, BSN
• Nicole Johnson
• Rashonda Johnson
• Relynn Johnson, RN

• Adult Psychiatric/Mental Health Registered Nurse in Columbia, MD
• Providers in Columbia, MD by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.