Individual provider Active NPI

Maria Ronningen Johnson, M.S., CGC

  • Genetic Counselor (M.S.)
  • Minneapolis, MN
National Provider Identifier
1861661712
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
516 Delaware St. S.E.
12 Phillips Wangensteen BLDG.
Minneapolis, MN 55455-0001
Phone
(612) 625-5859
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X Primary

Addresses

Primary practice location

516 Delaware St. S.E.
12 Phillips Wangensteen BLDG.
Minneapolis, MN 55455-0001

Mailing address

516 Delaware Ave
University of Minnesota Department of Neurology
St. Paul, MN 55455

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1861661712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DELAWARE AVE",
            "address_2": "UNIVERSITY OF MINNESOTA DEPARTMENT OF NEUROLOGY",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DELAWARE ST. S.E.",
            "address_2": "12 PHILLIPS WANGENSTEEN BLDG.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550001",
            "telephone_number": "612-625-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIA",
        "middle_name": "RONNINGEN",
        "name_prefix": "Ms.",
        "credential": "M.S., CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.