Mary-Martha Johnson, MSN,APRN,BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN242205L Issued in PA

Practice address

555 E City Ave
Suite 210
Bala Cynwyd, PA 19004-1115

Phone

(610) 660-8338

Fax

(610) 660-8339

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Certified Nurse Specialist, Master of Science - Nursing

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861526683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "215-572-6326",
            "fax_number": "215-885-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE",
            "address_2": "SUITE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041115",
            "telephone_number": "610-660-8338",
            "fax_number": "610-660-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY-MARTHA",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN242205L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Giugliano
• John Rickards
• Caryn R Johnson, OTR/L
• Keino J Johnson, D.O.
• Marilyn Johnson, LCSW, ACSW
• Naamon Christopher Johnson
• Joint Regeneration of Pennsylvania LLC
• Jones Home Health LLC
• Arlene P Jones Tippett, MSW
• Amy L Jones, PAC

• Psychiatric/Mental Health Registered Nurse in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychiatric/Mental Health Registered Nurse in Pennsylvania

• 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.