Lisa Yvette Johnson

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

4939 Pleasant Grove Dr
Wilmington, NC 28412-2288

Phone

(252) 671-3339

NPI assigned

Jan 23, 2020

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

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1669002010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 PLEASANT GROVE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122288",
            "telephone_number": "252-671-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 PLEASANT GROVE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122288",
            "telephone_number": "252-671-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Anne Johnson, LMFT
• Kiszy Shenea Johnson
• Laura Ellen Sutton Johnson, DDS
• Leslie Black Johnson, MA, LCMHC
• Lindsey Johnson, LCSW
• Lottie Zhevonda Johnson, PHARM.D.
• Marissa Johnson, FNP-C
• Mollie K Johnson, PA
• Niya N Johnson, RBT
• Philip Russell Johnson, LMFTA

• Health Educator in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Health Educator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.