Active NPI
Tineka Johnson, ND
- Naturopath
- Seymour, CT
National Provider Identifier
1659758100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 539
- Practice address
- 133 West St
Suite 11C
Seymour, CT 06483-2644 - Phone
- (203) 804-8729
- Fax
- (203) 702-5110
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 539 | CT | Primary |
| Acupuncturist | 171100000X | 539 | CT |
Addresses
Primary practice location
133 West St
Suite 11C
Seymour, CT 06483-2644
Mailing address
133 West St
Suite 11C
Seymour, CT 06483-2644
Phone (203) 804-8729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269094 | Other | CA | APIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1659758100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 WEST ST",
"address_2": "SUITE 11C",
"city": "SEYMOUR",
"state": "CT",
"postal_code": "064832644",
"telephone_number": "203-804-8729",
"fax_number": "203-702-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 WEST ST",
"address_2": "SUITE 11C",
"city": "SEYMOUR",
"state": "CT",
"postal_code": "064832644",
"telephone_number": "203-804-8729",
"fax_number": "203-702-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TINEKA",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "539",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "539",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APIC",
"identifier": "269094",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seymour, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.