Alexis Johnson, CCHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

201958 Issued in RI

Practice address

12 Crandall St
Providence, RI 02908-1304

Phone

(401) 644-1181

NPI assigned

Sep 16, 2025

Sex

Female

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

State licenses

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1972474625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CRANDALL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CRANDALL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081304",
            "telephone_number": "401-644-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXIS",
        "credential": "CCHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": "201958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Mary John, MD
• Meenu Johnkutty, MD
• Wilthonie A Johnson-Goncalves, MSW
• Heather Anne Johnson-Lafreniere, LICSW
• Aleta B Johnson, MSW LICSW
• Allison Johnson
• Amillia Johnson
• Amy Rebecca Johnson, MD
• Andrea Lauren Johnson, PHARMD
• Ann Elizabeth Johnson, MS, OTR L

• Community Health Worker in Providence, RI
• Providers in Providence, RI by specialty
• Community Health Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.