Elizabeth Marie Johnson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

201123576 Issued in KY

Practice address

5308 Carolina Crossings Way
102
Louisville, KY 40219-2380

Phone

(502) 314-7093

NPI assigned

Sep 30, 2011

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

Other names 1

• Lizzie Marie Johnson Other name

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": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1740564442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 CAROLINA CROSSINGS WAY",
            "address_2": "102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192380",
            "telephone_number": "502-314-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 CAROLINA CROSSINGS WAY",
            "address_2": "102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192380",
            "telephone_number": "502-314-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "201123576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZZIE",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devyn M Johnson, CSW
• Douglas Johnson, OD
• Duncan Campbell Johnson, D.M.D.
• Elissa Faith Johnson, FNP-C
• Elizabeth Johnson
• Emily Johnson, M.S., LMFT
• Emily Ann Johnson, APRN
• Erika Danielle Johnson, O.D.
• Erin Johnson, MS, RD, LDN
• Ethan Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.