Marchele Lynette Johnson, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-123856 Issued in AL

Practice address

820 S University Blvd BLDG 1
Suite 1B
Mobile, AL 36609-7859

Phone

(251) 633-5155

Fax

(251) 633-5125

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in AL, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Together Women'S Health Medical Group of Alabama PC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1689637431
  Medicare reassignment NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Farmers Branch, TX
  • NPI 1376724948
  Medicare reassignment NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Rockwall, TX
  • NPI 1861966327
  NPD

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1831537497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD BLDG 1",
            "address_2": "SUITE 1B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097859",
            "telephone_number": "251-633-5155",
            "fax_number": "251-633-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD BLDG 1",
            "address_2": "SUITE 1B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097859",
            "telephone_number": "251-633-5155",
            "fax_number": "251-633-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARCHELE",
        "middle_name": "LYNETTE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-123856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "511-70526",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin M Johnson, P.A.-C.
• Kimberly Johnson, LGSW
• Lasaia Faith Johnson
• Latrece Johnson
• Madison Ann Johnson
• Mark Vincent Johnson, M.D.
• Rikesha Neltavia Johnson
• Samuel L. Johnson, DDS
• Thomas Johnson
• Ukawia Tyewunn Johnson

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.