Active NPI
Rebecca Louann Johnson, LPN
- Chore Provider
- Logan, OH
National Provider Identifier
1831222520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- PN061772
- Practice address
- 11460 Highland Park
Logan, OH 43138-8617 - Phone
- (740) 385-4215
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | PN061772 | OH | Primary |
Addresses
Primary practice location
11460 Highland Park
Logan, OH 43138-8617
Mailing address
11460 Highland Park
Logan, OH 43138-8617
Phone (740) 385-4215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2231329 | Medicaid | OH |
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 |
|---|---|---|---|
| PN061772 | OH | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831222520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11460 HIGHLAND PARK",
"city": "LOGAN",
"state": "OH",
"postal_code": "431388617",
"telephone_number": "740-385-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11460 HIGHLAND PARK",
"city": "LOGAN",
"state": "OH",
"postal_code": "431388617",
"telephone_number": "740-385-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"middle_name": "LOUANN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "OH",
"license": "PN061772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2231329",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logan, OH
Sources for this page
- 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.