Olivia Michelle Johntry

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1500 Waters PL
Bronx, NY 10461-2723

Phone

(929) 348-4492

NPI assigned

Feb 26, 2016

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)

Not enrolled

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1619337011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678124",
            "telephone_number": "929-348-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "929-348-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNTRY",
        "first_name": "OLIVIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Johnston, BA
• Debra R Johnston, RNP
• Paul Johnston, MD
• Suzannah Johnston
• Alana Renee Johnstone
• Ryan Johny, PHARM. D
• Tessy Susan Johny, NP
• Gabriella Johr, PSYD
• Joice Samuel MD
• Devon Joiner, MD

• Peer Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.