Marlena Rae Johnson, S.A.

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

97142 Issued in CO

Practice address

2765 Pierce St
Wheat Ridge, CO 80214-8050

Phone

(303) 232-9297

Fax

(303) 232-9297

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marlena Rae Johnson Professional name

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619196482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 PIERCE ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802148050",
            "telephone_number": "303-232-9297",
            "fax_number": "303-232-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 PIERCE ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802148050",
            "telephone_number": "303-232-9297",
            "fax_number": "303-232-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARLENA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "S.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CO",
            "license": "97142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENA",
            "last_name": "JOHNSON",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "S.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Rodrigues Johnson, PA-C
• Jewel Cleo Johnson
• Julie Ann Johnson, L.AC., MSOM, FABORM
• Katherine Mirro Johnson, D.O.
• Luke Bowes Johnson, M.D.
• Matthew R Johnson, PHARMD
• Regina Johnson, MD
• Sarah Maureen Johnson
• Shelby Johnson, PHARMD
• Taryn Johnson

• Surgical Technologist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Surgical Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.