Hanna Rebecca Johansen

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1175 N Guignard Dr
Sumter, SC 29150-1519

Phone

(803) 934-4395

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1952052854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 GIBBS DAIRY RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548790",
            "telephone_number": "612-814-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 N GUIGNARD DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501519",
            "telephone_number": "803-934-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "HANNA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jenkins, RN
• Latesia I'Banes Jenkins, MSW, CACP
• Cynthia Ann Jennings, LMSW
• Malachi Jennings
• Jlpenny Enterprise Inc.LLC
• Deja Vonelle Johnson, PHARMD
• Gavin Johnson
• Iris Johnson
• Shiron Johnson
• Tiffany N. Johnson, D.C., LMT

• Peer Specialist in Sumter, SC
• Providers in Sumter, SC by specialty
• Peer Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.