SUSAN JOHNSON (NPI# 1346625480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346625480 |
| Entity Type | Individual |
| Full Name | SUSAN JOHNSON |
| Credential | CMT |
| Practice Address |
1340 Boylston St Fl 3 Fenwy Health Boston MA 02215-4302 |
| Practice Telephone | 6179276151 |
| Practice Fax Number | 6178678646 |
| Mailing Telephone | 6179276151 |
| Mailing Fax Number | 6178678646 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2317 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1093291569 | Susan Patricia Johnson | Behavior Technician | 2062 Brookside Ln, Aurora, IL 60502-1369 | 2018-07-17 |
| 1396233094 | Susan Johnson | Advanced Practice Midwife | 2851 New Hartford Rd Ste B, Owensboro, KY 42303-1320 | 2018-04-27 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1366986986 | Susan Jean Johnson | Licensed Practical Nurse | 900 Owen Walters Blvd, Salina, OK 74365 | 2016-12-16 |
| 1386186518 | Susan Lynn Johnson | Pharmacist | 740 S Limestone St J134, Lexington, KY 40536-0001 | 2016-11-04 |
| 1235683889 | Susan Ly Johnson | Optometrist | 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | 2016-08-12 |
| 1205212347 | Susan Johnson | Home Health Aide | 13045 Stamford Ave, Warren, MI 48089-1350 | 2015-07-30 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| 1902218290 | Susan Johnson | Lactation Consultant, Non-RN | 2180 S 1300 E Ste 600, Parkview Plaza One, Salt Lake City, UT 84106-4462 | 2014-05-21 |
| Street Address |
1340 BOYLSTON ST FL 3 FENWY HEALTH |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997219 | Koray Yalcinkaya | Massage Therapist | 301 Ashmont St, Boston, MA 02124-3813 | 2020-09-21 |
| 1114533718 | Danielle L Haynes | Massage Therapist | 418 Tremont St, Boston, MA 02116-6309 | 2020-09-18 |
| 1881214120 | Chi Liang Luo | Massage Therapist | 200 Lincoln St Ste 401, Boston, MA 02111-2422 | 2020-04-16 |
| 1164051033 | Arthur Paul Brodie | Massage Therapist | Boston Athletic Club, 653 Summer St., Boston, MA 02110 | 2020-04-03 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1053883652 | Luxurious Sense Corporation | Massage Therapist | 252 Newbury St Ste 2, Boston, MA 02116-2416 | 2018-12-20 |
| 1104300193 | Delilah Garcia | Massage Therapist | 64 American Legion Hwy, Boston, MA 02124-1506 | 2018-09-17 |
| 1518466218 | Yiren Corporation | Massage Therapist | 11 Edinboro St Ste 1, Boston, MA 02111-2138 | 2018-02-08 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1780111229 | Milan A. Baudelaire | Massage Therapist | 20 Charlesgate W Apt 320, Boston, MA 02215-2703 | 2017-05-15 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.