Shantel Denise Johnson

Key facts

NPI

1831754415

Entity type

Individual (NPI type 1)

Primary specialty

Technician 374700000X

Practice address

609 5TH St
Modesto, CA 95351-3316

Phone

(209) 341-0718

NPI assigned

May 8, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Turning Point Community Programs Mental Illness Community Based Residential Treatment Facility · Modesto, CA · NPI 1740489574
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2019.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1831754415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 5TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513316",
            "telephone_number": "209-341-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513316",
            "telephone_number": "209-341-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANTEL",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

• Millard E. Johnson, MD
• Natalia Johnson
• Nicole Johnson, LMFT, CSAT
• Rebecca Marie Johnson
• Scott Patrick Johnson, A.T.,C
• Shari Johnson
• Timothy Leroy Johnson, MA, MFT
• Kristy Dianne Johnston-Fields, CNS
• Sarah Johson, BCABA
• Tami Michelle Johson

All providers in Modesto, CA · Technician in California