Individual provider Active NPI

Tatianna Johnson

  • Prosthetist
  • Albuquerque, NM
National Provider Identifier
1659235729
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
BCB-2025-1416 Issued in NM
Practice address
1751 Bellamah Ave NW Apt 2109
Albuquerque, NM 87104-2226
Phone
(512) 522-9552
NPI assigned
Dec 12, 2025
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X BCB-2025-1416 NM Primary

Addresses

Primary practice location

1751 Bellamah Ave NW Apt 2109
Albuquerque, NM 87104-2226

Mailing address

1751 Bellamah Ave NW Apt 2109
Albuquerque, NM 87104-2226
Phone (512) 522-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BCB-2025-1416NMMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1659235729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BELLAMAH AVE NW APT 2109",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042226",
            "telephone_number": "512-522-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BELLAMAH AVE NW APT 2109",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042226",
            "telephone_number": "512-522-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TATIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NM",
            "license": "BCB-2025-1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.