Individual provider Active NPI

Cheryl Johnson, N.D.

  • Naturopath
  • Mendocino, CA
National Provider Identifier
1598916017
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-112 Issued in CA
Practice address
Little Lake Rd.
Mendocino, CA 95460-0970
Phone
(760) 466-7581
NPI assigned
Oct 2, 2008
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-112 CA Primary
Naturopath 175F00000X 05-864 AZ

Addresses

Primary practice location

Little Lake Rd.
Mendocino, CA 95460-0970

Mailing address

PO Box 148
Mendocino, CA 95460-0148
Phone (707) 397-1618

Other practice location 1

2425 E Christy Dr
Phoenix, AZ 85028-2515
Phone (480) 753-9436

Other names 1

  • Dr. Cheryl Johnson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05-864AZMDNaturopath
ND-112CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1598916017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "954600148",
            "telephone_number": "707-397-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LITTLE LAKE RD.",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "954600970",
            "telephone_number": "760-466-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 E Christy Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850282515",
            "country_code": "US",
            "telephone_number": "480-753-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-112",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "05-864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "N.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mendocino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.