Wanda Breshae Johnson

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

506 Manchester Expy Ste A13
Columbus, GA 31904-6483

Phone

(706) 653-9343

NPI assigned

Dec 31, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• New Horizons CSB Cornerstone

  • Counselor
  • Columbus, GA
  • NPI 1720125461
  NPD (past)

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1649819129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 LAWYERS LN",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063129",
            "fax_number": "706-653-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MANCHESTER EXPY STE A13",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046483",
            "telephone_number": "706-653-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WANDA",
        "middle_name": "BRESHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon S Johnson, CRNA
• Stehpanie Sherie Johnson
• Tamra Johnson
• Tyasia Johnson
• Valario Galanti Johnson Jr., DO
• Wayne Johnson
• Zachery Johnson
• Edwin D Johnston Jr., MD
• Gregory A Johnston, OTR/L
• Sophronia R Johnston

• Day Training/Habilitation Specialist in Columbus, GA
• Providers in Columbus, GA by specialty
• Day Training/Habilitation Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.