Audra Denise Johnson

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

937308 Issued in TN

Practice address

5405 Fox Plaza Dr
Memphis, TN 38115-1518

Phone

(901) 491-8060

NPI assigned

Sep 19, 2024

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Onestick LLC

  • Health Service Clinic/Center
  • Memphis, TN
  • NPI 1265269534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1699502971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 BAY HOLLOW CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252601",
            "telephone_number": "901-347-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 FOX PLAZA DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151518",
            "telephone_number": "901-491-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUDRA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TN",
            "license": "937308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Johnson
• Andre Keith Johnson, PHARM.D.
• Ashland Shalon Johnson
• Ashlee Shanice Johnson, MD
• Ashley N Johnson, WHNP-BC
• Brandi M Johnson, RD, LD
• Brent Corin Johnson, DDS
• Briania Johnson
• Carolyn Michelle Johnson
• Chanceller Cortez Johnson, B.S., D.C.

• Phlebotomy Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Phlebotomy Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.