Active NPI
Valarie Beth Johnson
- Dental Hygienist
- Cookeville, TN
National Provider Identifier
1770115693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5774
- Practice address
- 738 E Spring St
Cookeville, TN 38501-4230 - Phone
- (931) 520-8880
- NPI assigned
- Feb 8, 2020
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5774 | TN | Primary |
Addresses
Primary practice location
738 E Spring St
Cookeville, TN 38501-4230
Mailing address
545 Hilham Hwy
Livingston, TN 38570-8164
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5774 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581120000000",
"number": "1770115693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 HILHAM HWY",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385708164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 E SPRING ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014230",
"telephone_number": "931-520-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VALARIE",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-08",
"last_updated": "2020-02-08",
"certification_date": "2020-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "5774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.