Derrick Jerod Johnson, MS

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1147 Issued in MD

Practice address

7601 Matapeake Business Drive
Brandywine, MD 20613

Phone

(301) 758-6857

NPI assigned

Apr 9, 2008

Sex

Male

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

Master of Science

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1942473186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207410739",
            "telephone_number": "301-758-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 MATAPEAKE BUSINESS DRIVE",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "20613",
            "telephone_number": "301-758-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DERRICK",
        "middle_name": "JEROD",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Healthcare Servces
• Johns Hopkins Community Physicians
• Johns Hopkins Community Physicians, Inc
• Clarence McNeil Johnson Jr., CRNP-PMH
• Delores Michelle Johnson
• Ka'Ra Caprie Johnson, LCSW-C, LCSW
• Anita Bonsu Jones, MD
• Just Breathe Recovery and Wellness Centers, LLC
• Magrace Vanessa Kamdem Simo
• Michael Kayajanian

• Audiologist in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.