Jessica D Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

264126 Issued in KY

Practice address

12492 Lagrange Road
Louisville, KY 40245

Phone

(502) 813-0706

NPI assigned

Aug 20, 2020

Last updated

Sep 21, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1710599865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10118 SUMMIT PARK PL",
            "address_2": "APT #201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12492 LAGRANGE ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40245",
            "telephone_number": "502-813-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "264126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Newdawntherapyctr@gmail.com",
            "affiliation": "N",
            "address_1": "10102 Summit Park Pl Apt 201",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402413833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet Johnson
• Jasmine Johnson
• Jeannie A. Johnson
• Jermaine Damon Johnson, LMFT
• Jessica Johnson
• Jessica Leigh Johnson, PHARMD
• Jill Johnson, DNP, APRN, FNP-BC
• John Johnson, OD
• John R. Johnson, M.D.
• Jolean Johnson, RN

• Massage Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.