Matisse Lela Johnson

Primary specialty

DoulaTaxonomy code 374J00000X

License

202501-13 Issued in MN

Practice address

6813 5TH St N
Minneapolis, MN 55430-2839

Phone

(612) 598-2550

Fax

(612) 598-2550

NPI assigned

Feb 17, 2025

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

State licenses

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1891590642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 5TH ST N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554302839",
            "telephone_number": "612-598-2550",
            "fax_number": "612-598-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 5TH ST N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554302839",
            "telephone_number": "612-598-2550",
            "fax_number": "612-598-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATISSE",
        "middle_name": "LELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MN",
            "license": "202501-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Ann Johnson, RN
• Mark Alan Johnson, D.C.
• Mark Herbert Johnson, M.D.
• Mary Katharine Johnson, APRN CNP
• Masha Johnson
• Matthew Johnson, MA LPCC
• Maxine Johnson, MA. LPCC
• Mbuotidem Johnson
• Meredyth Ann Johnson, CD (DONA)
• Michael Timm Johnson, D.C.

• Doula in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Doula in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.