Jordan Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6801107130 Issued in MI

Practice address

19710 Cherry Hill St
Southfield, MI 48076-1061

Phone

(248) 514-9024

NPI assigned

Oct 12, 2020

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1861090953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 CHERRY HILL ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761061",
            "telephone_number": "248-514-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 CHERRY HILL ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761061",
            "telephone_number": "248-514-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6801107130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Johnson
• Jeffery James Johnson, CRNA
• Jeremiah Johnson
• Jimmie Johnson
• Jordan Johnson
• Kathleen McGraw Johnson, LMSW
• Kendall Johnson
• Labresha Johnson, MS, LLMSW
• Linda Ann Johnson, MD FNP C
• Lindsey M Johnson, PA-C

• Case Manager/Care Coordinator in Southfield, MI
• Providers in Southfield, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.