Mercedes Chanel Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3 San Luis PL
Santa Rosa, CA 95409-2806

Phone

(843) 450-4312

NPI assigned

Feb 18, 2020

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

Other identifiers 1

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1932732971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAN LUIS PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092806",
            "telephone_number": "843-450-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAN LUIS PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092806",
            "telephone_number": "843-450-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MERCEDES",
        "middle_name": "CHANEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Mailing Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 San Luis Pl",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954092806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Kay Johnson
• Kristen Johnson, M.D.
• Kyle Patrick Johnson, PA
• Lois Christine Johnson, MD
• Lori Friedrich Johnson, NP
• Michael Levon Johnson Jr.
• Natalie Sue Johnson, RN, PHN, CSN
• Pamela Johnson
• Paul T Johnson
• Raeanne Johnson

• Behavior Technician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.