Ella Rene Johnson-Wiley

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1720 Gatewood Dr
Las Vegas, NV 89108-2518

Phone

(702) 647-4735

NPI assigned

Jan 26, 2013

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.

• Accepting Hearts Behavioral Services

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1891207452
  NPD

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1659619617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GATEWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082518",
            "telephone_number": "702-647-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GATEWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082518",
            "telephone_number": "702-647-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-WILEY",
        "first_name": "ELLA",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-26",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendal Johnson-Ellenbeck
• Gwendolyn Johnson-Hall
• Orlanda Johnson-Lee
• Tyronda Johnson-Miller, RN
• Mariaya Johnson-Sivertsen
• Pamela Johnson-Wiley
• Ada Johnson
• Adam Nathaniel Johnson
• Adrian Johnson
• Akyia Monaye Johnson

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.