Individual provider Active NPI

Rachel Johnson

  • Registered Nurse
  • Mount Pleasant, WI
National Provider Identifier
1902473549
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
172809 Issued in WI
Practice address
5331 Spring St Ste 101
Mount Pleasant, WI 53406-2930
Phone
(262) 554-8800
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 172809 WI Primary

Addresses

Primary practice location

5331 Spring St Ste 101
Mount Pleasant, WI 53406-2930

Mailing address

PO Box 81396
Racine, WI 53408-1396
Phone (262) 554-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel@wihhs.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
172809WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health Services, LLC. CurrentSince Jun 15, 2021 Accepting new patients

Locations

5331 Spring St
Ste 101
Mount Pleasant, WI 53406
Phone (262) 554-8800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1902473549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81396",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534081396",
            "telephone_number": "262-554-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 SPRING ST STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062930",
            "telephone_number": "262-554-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "172809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel@wihhs.com",
            "affiliation": "N",
            "address_1": "5331 Spring St Ste 101",
            "city": "Mount Pleasant",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534062930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.