Tracy Lynn Johnson, CFTS

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CFTS0582 Issued in NC

Practice address

2309 S 17TH St Ste 100
Wilmington, NC 28401-8006

Phone

(910) 392-5806

Fax

(910) 397-2867

NPI assigned

Aug 27, 2009

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

Other identifiers 1

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1992938757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 LAKEVIEW DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123397",
            "telephone_number": "910-599-7077",
            "fax_number": "910-397-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 S 17TH ST STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284018006",
            "telephone_number": "910-392-5806",
            "fax_number": "910-397-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CFTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "CFTS0582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC",
            "identifier": "CFTS0582",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Johnson, FNP-C
• Mollie K Johnson, PA
• Niya N Johnson, RBT
• Philip Russell Johnson, LMFTA
• Tiffany M Johnson, MA, NCC,LSC, LCMHC-A
• Tucker Lee Johnson, FNP
• Yvonnia E Johnson, LCSW-A, CADC-I
• Jenna Lee Johnston, LCMHC
• Ross Adam Johnston, PSYD
• Jason Johnstone, M.A., LPA

• Prosthetic/Orthotic Supplier in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.