Individual provider Active NPI

Madeline Johnson, RT

  • Certified Respiratory Therapist
  • Blue Ash, OH
National Provider Identifier
1972048171
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
6463 Issued in KY
Practice address
4675 Cornell Rd
Blue Ash, OH 45241-2461
Phone
(513) 272-3999
NPI assigned
Dec 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X RTL1229 CO
Certified Respiratory Therapist 227800000X 43ZA00004673 NJ
Certified Respiratory Therapist 227800000X 6463 KY Primary
Certified Respiratory Therapist 227800000X TTL16188 FL

Addresses

Primary practice location

4675 Cornell Rd
Blue Ash, OH 45241-2461

Mailing address

345 E 86TH St Apt 16C
New York, NY 10028-4750
Phone (917) 861-5292

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

LicenseStateTypeSpecialty
RTL1229COMDCertified Respiratory Therapist
TTL16188FLMDCertified Respiratory Therapist
6463KYMDCertified Respiratory Therapist
43ZA00004673NJMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1972048171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 86TH ST APT 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284750",
            "telephone_number": "917-861-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412461",
            "telephone_number": "513-272-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADELINE",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CO",
            "license": "RTL1229",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NJ",
            "license": "43ZA00004673",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "KY",
            "license": "6463",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "FL",
            "license": "TTL16188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.