Michelle M Johnson

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

808 Park Dr
Dunbar, WV 25064-2623

Phone

(304) 542-4511

NPI assigned

Feb 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1891591541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 PARK DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642623",
            "telephone_number": "304-542-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PARK DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642623",
            "telephone_number": "304-542-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cervonehannah03@outlook.com",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "808 Park Dr",
            "city": "Dunbar",
            "state": "WV",
            "country_code": "US",
            "postal_code": "250642623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dewanna Lynn Johnson
• Etta Justeen Johnson
• Heather Johnson, MSW, LICSW
• Jeanne M Johnson, LPC
• Kimberly Kay Johnson
• Patty Johnson
• Vanessa Johnson
• Russell L Jones, D.C.
• Kanawha Institute for Social Research & Action, Inc.
• Kci USA, Inc.

• Homemaker in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Homemaker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.