Active NPI
Joy Kristina Johnson, LMT
- Massage Therapist
- Gonzales, LA
National Provider Identifier
1962025270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA9162
- Practice address
- 1724 N Burnside Ave Ste 4
Gonzales, LA 70737-2157 - Phone
- (225) 733-1159
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA9162 | LA | Primary |
Addresses
Primary practice location
1724 N Burnside Ave Ste 4
Gonzales, LA 70737-2157
Mailing address
1231 Northwood Ave
Gonzales, LA 70737-1700
Phone (225) 733-1159
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.radiantmassageandwellness.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA9162 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1962025270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 NORTHWOOD AVE",
"city": "GONZALES",
"state": "LA",
"postal_code": "707371700",
"telephone_number": "225-733-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 N BURNSIDE AVE STE 4",
"city": "GONZALES",
"state": "LA",
"postal_code": "707372157",
"telephone_number": "225-733-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOY",
"middle_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA9162",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.radiantmassageandwellness.com",
"affiliation": "N",
"endpointDescription": "business website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1724 N. Burnside Avenue",
"address_2": "Suite 4",
"city": "Gonzales",
"state": "LA",
"country_code": "US",
"postal_code": "70737",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.