Tara K Johnson

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Practice address

8390 Latty Ave
Hazelwood, MO 63042-3236

Phone

(314) 521-6060

Fax

(314) 524-9854

NPI assigned

Mar 1, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ferguson Reorganized School District R-II

  • Local Education Agency (LEA)
  • Hazelwood, MO
  • NPI 1235172933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801924105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 WATERFORD DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333649",
            "telephone_number": "314-521-6060",
            "fax_number": "314-524-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LATTY AVE",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423236",
            "telephone_number": "314-521-6060",
            "fax_number": "314-524-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TARA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sorav Jethi
• Ravi S Johar, M.D.
• Emily J Johnson, D.D.S.
• Faye E Johnson
• Keri P Johnson, MD
• Lashell Jones
• Qiana Jones, CNA, MOA
• Joseph F. Kallial, D.M.D. LLC
• Priyanka Jaimin Joshi, PT
• Andrew Jovanovic, LPC

• Local Education Agency (LEA) in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.