September Rose Johnson

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

5857 Owens Ave Ste 300
Carlsbad, CA 92008-5507

Phone

(714) 658-5926

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1619462371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 COLLEGE BLVD APT 25",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564641",
            "telephone_number": "714-658-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 OWENS AVE STE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920085507",
            "telephone_number": "714-658-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SEPTEMBER",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Johnson, BCBA
• Lanija Johnson
• Mariah Marie Johnson
• Ryan James Johnson, R.N.
• Rylie Lynn Johnson
• Shantell Johnson
• Tyler Johnson, DDS
• Alexa Noelle Johnston
• Jennifer Lynn Johnston, FNP
• Jon P Kelly a Medical Copr (Carlsbad Orthopaedic Group)

• Nurse's Aide in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Nurse's Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.