Maryann Johnson, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041305291 Issued in IL

Practice address

7115 North Ave # 115
Oak Park, IL 60302-1002

Phone

(708) 299-7411

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1760992671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 NORTH AVE # 115",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021002",
            "telephone_number": "708-299-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 NORTH AVE # 115",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021002",
            "telephone_number": "708-299-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARYANN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041305291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Rose Johnson, PSY.D.
• Derrick James Johnson, PSY.D
• Kenya Johnson
• Lauren Johnson
• Marjorie Johnson
• Patricia Johnson, PSYD
• Samiya Johnson
• Sara Beth Johnson, M.S.W., L.C.S.W, PHD
• Charles Bradford Johnston, MD
• Janis Clark Johnston, ED.D.

• Registered Nurse in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.