Active NPI
Stephanie Johnson
- Driver
- Hampton, VA
National Provider Identifier
1710643499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T60-34-4481
- Practice address
- 110 Coliseum Xing # 5165
Hampton, VA 23666-5971 - Phone
- (757) 814-3316
- NPI assigned
- Nov 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T60-34-4481 | VA | Primary |
Addresses
Primary practice location
110 Coliseum Xing # 5165
Hampton, VA 23666-5971
Mailing address
110 Coliseum Xing # 5165
Hampton, VA 23666-5971
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Trucking and Transport | Driver | Current | Accepting new patients |
Locations
110 Coliseum Xing
Hampton, VA 23666
Phone (757) 752-8682
Organizations & group practices 1
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.
-
- Driver
- Newport News, VA
- NPI 1265192736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1710643499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COLISEUM XING # 5165",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COLISEUM XING # 5165",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665971",
"telephone_number": "757-814-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-29",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T60-34-4481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.