NP Johnson Telehealth Wellness Care, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

NP JOHNSON TELEHEALTH WELLNESS CARE, LLC

Practice address

315 Spring Day CT
Lake Saint Louis, MO 63367-6336

Phone

(314) 520-8856

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Damaris Laverne Johnson, NPNPI 1508347659

Title

Owner

Phone

(314) 520-8856

Specialties & licenses 1

Addresses

Other names 1

• NP Johnson Telehealth Wellness Care, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damaris Johnson

  • Primary Care Nurse Practitioner
  • Dallas, TX
  • NPI 1508347659

  MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1760201255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SPRING DAY CT",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671963",
            "telephone_number": "314-520-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SPRING DAY CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633676336",
            "telephone_number": "314-520-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP JOHNSON TELEHEALTH WELLNESS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-520-8856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NP Johnson Telehealth Wellness Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vidal Luis Mora, L.A.T., A.T.C.
• Jaclyn Morris, CPNP-PC
• Danielle E Nash, DC
• Nicole Barker, LPC, LLC
• Veronica Njwaba, DNP, FNP- BC
• Judith Ann Payne, LPC
• Sydney Pearlman, M.S., CF-SLP
• Angela Kay Pernoud, DDS
• Piotr T Dyk MD - Nephrology PC
• Pro Health Associates, LLC

• Adult Health Nurse Practitioner in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.