Katelyn Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007826 Issued in VA

Practice address

4016 Raintree Rd Ste 100a
Chesapeake, VA 23321-3700

Phone

(757) 488-2864

NPI assigned

Feb 13, 2019

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 1

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1801352935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 RAINTREE RD STE 100A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 RAINTREE RD STE 100A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213700",
            "telephone_number": "757-488-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0119007826",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic A Johnson, M.D.
• Janelle Johnson, LPC
• Janice R Johnson, LPC
• Janisha Johnson
• Jazmine Johnson
• Kathy L Johnson, QMHP, CEAP, HS-BCP
• Kimberly Johnson
• Kori Alison Johnson, OTD, OTR/L
• Kyesha A Johnson
• Leigh R Johnson, FNP

• Occupational Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.