Diane Sue Johnson, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704217838 Issued in MI

Practice address

901 West Memorial Drive
Houghton, MI 49931

Phone

(906) 482-9400

Fax

(906) 483-0269

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1922294107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WEST MEMORIAL DRIVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-482-9400",
            "fax_number": "906-483-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WEST MEMORIAL DRIVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-482-9400",
            "fax_number": "906-483-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DIANE",
        "middle_name": "SUE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704217838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Strength Physical Therapy and Wellness
• Marilyn Louise Isaacson, BSN, RN, CDDN
• Shannon Isaacson, PA-C
• Jared Berryman Chiropractic, PLLC
• Chad Robert Johnson, LBSW
• Katharine Johnson, PT
• Rebecca B Johnson, D.D.S.
• Shalini Johnson, M.D.
• Lance Kangas
• Rick Lee Kavorik, DDS

• Registered Nurse in Houghton, MI
• Providers in Houghton, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.