Deborah Ruth Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704222716 Issued in MI

Practice address

20548 Fenkell St
Detroit, MI 48223-1613

Phone

(313) 255-3333

NPI assigned

Nov 16, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851464754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7642 PARK MEADOW LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244103",
            "telephone_number": "248-210-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20548 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231613",
            "telephone_number": "313-255-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704222716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Lavez Johnson
• David Johnson
• David Ross Johnson
• Dawnielle Lavette Johnson, HT
• Deborah Angela Johnson, L.L.P.
• Delisa Johnson, SOCIAL WORKER BSW
• Denise Johnson, LCSW
• Denita Johnson, RN, BSN
• Dennise A. Johnson, OTR
• Deonta L Johnson

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Nurse Practitioner in Michigan

• 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.

Verify at the official NPI Registry.