Danielle Lynette Johnson, B.A. CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

15325 Gratiot Ave
Detroit, MI 48205-1328

Phone

(877) 544-6722

NPI assigned

Feb 23, 2024

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

Credentials

Bachelor of Arts

Practice roles

Locations

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.

• Impact Care, LLC

  • Community Health Worker
  • Detroit, MI
  • NPI 1154187524
  NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1912763376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051328",
            "telephone_number": "877-544-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051328",
            "telephone_number": "877-544-6722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18121 E 8 Mile Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480213245",
            "country_code": "US",
            "telephone_number": "877-544-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "middle_name": "LYNETTE",
        "credential": "B.A. CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corlonda Desiree Johnson
• Crystal Denise Johnson
• Dalena Elizabeth Johnson
• Damita Johnson
• Danaesha Johnson
• Darryl Lavez Johnson
• David Johnson
• David Ross Johnson
• Dawnielle Lavette Johnson, HT
• Deborah Angela Johnson, L.L.P.

• Community Health Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.