Michele Marie Johnson, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.020868 Issued in LA

Practice address

2130 1St St
Slidell, LA 70458-3432

Phone

(985) 646-6406

NPI assigned

Mar 25, 2009

Last updated

Feb 11, 2016By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of Health & Hospitals

  • Addiction (Substance Use Disorder) Counselor
  • Hammond, LA
  • NPI 1699726299
  NPD (past)
• Department of Health and Hospitals

  dba Northlake Addictive Disorders Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Covington, LA
  • NPI 1437196946
  NPD (past)
• Fphsa Fontainebleau Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Mandeville, LA
  • NPI 1750711677
  NPD (past)
• Louisiana Department of Health, Department of Health and Hospitals

  dba John J. Hainkel Jr. Home and and Rehabilitation Center

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1619119476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 1ST ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583432",
            "telephone_number": "985-646-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 1ST ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583432",
            "telephone_number": "985-646-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.020868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Johnson
• Jill Christine Johnson, RN
• Lakea Johnson
• Maegan Marie Johnson
• Matthew Johnson, LCSW
• Nia Johnson
• Nicole Lynn Johnson, CFNP
• Rafe Anthony Johnson
• Robyn Denise Johnson, PT
• Shasta Johnson

• Internal Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.