Individual provider Active NPI

Meaghan Margaret Odea Johnson, CPNP-PC

  • Pediatric Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1831651025
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2306922 Issued in MA
Practice address
21515 Hawthorne Blvd # GL-100
Torrance, CA 90503-6501
Phone
(424) 571-2618
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2306922 MA Primary

Addresses

Primary practice location

21515 Hawthorne Blvd # GL-100
Torrance, CA 90503-6501

Mailing address

21515 Hawthorne Blvd # GL-100
Torrance, CA 90503-6501
Phone (424) 571-2618

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

LicenseStateTypeSpecialty
RN2306922MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Developmental Therapies PA Past Accepting new patients
Cortica Healthcare Inc PastSince Feb 16, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meaghan.o.dea.johnson.1@14973.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1831651025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD # GL-100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "424-571-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD # GL-100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "424-571-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEA JOHNSON",
        "first_name": "MEAGHAN",
        "middle_name": "MARGARET",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2306922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

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

Verify at the official NPI Registry.