Grace Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12760 W 87TH Street Pkwy
Lenexa, KS 66215-4635

Phone

(816) 668-8977

NPI assigned

Dec 19, 2017

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 names 1

• Grace Halverson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patterns Behavioral Services Kansas

  • Speech-Language Pathologist
  • Lenexa, KS
  • NPI 1649748401
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1962918557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "657-444-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154635",
            "telephone_number": "816-668-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "HALVERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnson County Dialysis Inc
• Shayde Johnson-Land
• Arnita Johnson
• Caleb Thomas Johnson
• Casey Johnson, D.O
• Jaden Johnson
• Katheryne Johnson
• Steven Lee Johnson, DDS
• Olivia R Johnston
• Rebecca Lynn Johnston, LMLP

• Behavior Technician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.