Sellittia Renae Johnson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

211 B Wayne Street
Columbia, TN 38401

Phone

(931) 560-3075

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1891039376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 EAST GRIGSBY STREET",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-292-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 B WAYNE STREET",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-560-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SELLITTIA",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romany Anne Nilanthi Johnpulle, M.D.
• Ashley Elizabeth Johnson, MA
• Joan Johnson, RN
• Kayla Diane Johnson, PHARM.D.
• Kimberly Dawn Johnson, RN
• Tara Tyler Johnson, FNP-BC
• Elizabeth Jones, RN
• Emily Megan Jones, AGACNP-BC
• Krystal Dawn Jones
• Margaret Graham Jones, D.PH.

• Community Health Worker in Columbia, TN
• Providers in Columbia, TN by specialty
• Community Health Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.