Tina Lashay Johnson, LMBT #18043

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18043 Issued in NC

Practice address

5511 Monroe Rd Ste 206
Charlotte, NC 28212-5503

Phone

(980) 273-2003

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1740895531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 LOWEN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690192",
            "telephone_number": "980-273-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 MONROE RD STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "980-273-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TINA",
        "middle_name": "LASHAY",
        "credential": "LMBT #18043",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NC",
            "license": "18043",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "18043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Derek Johnson, MD
• Taylor Renee Johnson, LCSWA
• Thomas Vincent Johnson, MD
• Timothy Johnson, LCSWA, LCAS, CSI
• Timothy Lee Johnson, M.A., LCAS
• Tkeayh Johnson
• Tonia Christina Johnson, NP
• Tracy Dianne Johnson, NP
• Trinity Channelle Johnson, LP
• Trisha Leann Johnson, MSW, P-LCSW

• Massage Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.