Lisa M Johnson, M.S.N., NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP9644 Issued in CA

Practice address

8043 2ND St
Ste 105
Downey, CA 90241-3621

Phone

(562) 862-1134

Fax

(562) 861-9895

NPI assigned

Jul 6, 2005

Last updated

Jun 9, 2014By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel R. Lemay, MD, PHD, Inc

  • Neurological Surgery Physician
  • Downey, CA
  • NPI 1669511408
  Medicare reassignment NPD

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1750388716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 2ND ST",
            "address_2": "STE 105",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413621",
            "telephone_number": "562-862-1134",
            "fax_number": "562-861-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 2ND ST",
            "address_2": "STE 105",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413621",
            "telephone_number": "562-862-1134",
            "fax_number": "562-861-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "M.S.N., NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP9644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN4927680",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN4927681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Johnson, OT
• Darryl Johnson Sr.
• Elroy Johnson Jr.
• Jada Johnson, MSW
• Jared Joshua Johnson
• Melissa Johnson, LCSW
• Nyka Johnson, RN
• Penny Roumanis Johnson, MD
• Ryann Christina Johnson
• Tammy Terrell Johnson, PSYCH TECH

• Nurse Practitioner in Downey, CA
• Providers in Downey, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.