Active NPI
Ranelle Marie Johnson
- Music Therapist
- Los Angeles, CA
National Provider Identifier
1790371979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11181
- Practice address
- 406 1/2 Micheltorena St
Los Angeles, CA 90026-3594 - Phone
- (612) 250-2654
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 11181 | Primary |
Addresses
Primary practice location
406 1/2 Micheltorena St
Los Angeles, CA 90026-3594
Mailing address
406 1/2 Micheltorena St
Los Angeles, CA 90026-3594
Phone (612) 250-2654
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1790371979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 1/2 MICHELTORENA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263594",
"telephone_number": "612-250-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 1/2 MICHELTORENA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263594",
"telephone_number": "612-250-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RANELLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "11181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.