Dana Ilene Johnson, LMP, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00014833 Issued in WA

Practice address

11803 101St Ave CT E
Ste 100
Puyallup, WA 98373-3473

Phone

(253) 435-1285

Fax

(253) 445-8632

NPI assigned

Aug 16, 2005

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

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780676726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25506 157TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424161",
            "telephone_number": "253-435-1285",
            "fax_number": "253-445-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 101ST AVE CT E",
            "address_2": "STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733473",
            "telephone_number": "253-435-1285",
            "fax_number": "253-445-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANA",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "LMP, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "0195842",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1880J0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Stuart Johns, D.C.
• Alyssa McKenzy Johnson, LMT
• Ashley Johnson
• Audrey Johnson
• Cindy L Johnson, MSW
• Gillian McRavin Johnson, MSN
• Gregory Charles Johnson, O.D.
• Holly N Johnson, M.D.
• James Johnson
• Jennifer Johnson

• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.