Michelle Lynn Johnson, OTR

Primary specialty

ContractorTaxonomy code 171W00000X

License

5201004069 Issued in MI

Practice address

38364 Yonkers Dr
Sterling Heights, MI 48310-3459

Phone

(248) 390-1994

NPI assigned

May 31, 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

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1881631034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38364 YONKERS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103459",
            "telephone_number": "248-390-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38364 YONKERS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103459",
            "telephone_number": "248-390-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": "5201004069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daja Johnson
• Emily Johnson, AU.D
• Jordan Alexander Johnson I
• Kentaja Johnson
• Kianna Johnson
• Savanna Johnson
• Shamia Johnson
• Sharale Johnson
• Tamesha Johnson
• Taylor Johnson

• Contractor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.