Shalon Yvette Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1109 Cross Link Rd Ste B229
Raleigh, NC 27610-4842

Phone

(919) 357-8554

NPI assigned

Jan 29, 2025

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)

Not enrolled

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1871306381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CROSS LINK RD STE B229",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104842",
            "telephone_number": "919-357-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CROSS LINK RD STE B229",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104842",
            "telephone_number": "919-357-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 Cross Link Rd Ste B229",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276104842",
            "country_code": "US",
            "telephone_number": "919-357-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHALON",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Zachary Johnson, PA-C
• Sally Johnson
• Samaria Faith Johnson
• Sandrivette Johnson, FNP-C
• Sarah Lane Johnson, M.S., CCC-SLP
• Shaniece Johnson
• Shaughnessy Burnett Johnson
• Shelby Johnson
• Sherry Tang Johnson, M.D.
• Sonia Lynee Johnson

• Peer Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.