Tara Denise Johnson, BA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

724089 Issued in AZ

Practice address

1749 E Fremont Rd
Phoenix, AZ 85042-5740

Phone

(602) 275-9503

NPI assigned

Nov 19, 2010

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

Credentials

Bachelor of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: tara.johnson.p1@direct.azca.nextgenshare.com

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1982906111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 E FREMONT RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425740",
            "telephone_number": "602-275-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 E FREMONT RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425740",
            "telephone_number": "602-275-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TARA",
        "middle_name": "DENISE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "AZ",
            "license": "724089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue B Johnson, MD
• Suesan Johnson
• Taalor Johnson, LCSW
• Tammy M Johnson, R.D.
• Tani Johnson
• Taryn Johnson, DO
• Terra Rachelle Johnson, MS, RDN, IBCLC
• Tiffany L Johnson, M.D.
• Tina M Johnson
• Trazell L. Johnson, NP-C

• Personal Care Attendant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Personal Care Attendant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.