Active NPI
Tomeka Louvenia Johnson, MBA, CTRS, CARSS
- Recreation Therapist
- Southaven, MS
National Provider Identifier
1740996008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 54600
- Practice address
- 8848 Sweet Flag Loop
Southaven, MS 38671-5156 - Phone
- (601) 472-1388
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 54600 | MS | Primary |
Addresses
Primary practice location
8848 Sweet Flag Loop
Southaven, MS 38671-5156
Mailing address
8848 Sweet Flag Loop
Southaven, MS 38671-5156
Phone (601) 472-1388
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54600 | MS | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1740996008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8848 SWEET FLAG LOOP",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715156",
"telephone_number": "601-472-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8848 SWEET FLAG LOOP",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715156",
"telephone_number": "601-472-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TOMEKA",
"middle_name": "LOUVENIA",
"credential": "MBA, CTRS, CARSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MS",
"license": "54600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.