NPI Code Detail JSON Logo

1780478800 NPI number — ESSENCE LAMAR JOHNSON RN, QMHP

NPI Number: 1780478800
Health Care Provider/Practitioner: ESSENCE LAMAR JOHNSON RN, QMHP

Information about “1780478800” NPI (ESSENCE LAMAR JOHNSON RN, QMHP) exists in 1780478800 in HTML format HTML  |  1780478800 in plain Text format TXT  |  1780478800 in PDF (Portable Document Format) PDF  |  1780478800 in an XML format XML  formats.

NPI Number : 1780478800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780478800",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "ESSENCE",
    "MiddleName": "LAMAR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, QMHP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON-KNIGHT",
    "OtherFirstName": "ESSENCE",
    "OtherMiddleName": "LAMAR",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "837 GREYSHIRE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESTER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23836-5729",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-971-8039",
    "MailingAddressFaxNumber": "804-971-8039",
    "FirstLinePracticeLocationAddress": "837 GREYSHIRE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESTER",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23836-5729",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-971-8039",
    "PracticeLocationAddressFaxNumber": "804-971-8039",
    "EnumerationDate": "04/04/2025",
    "LastUpdateDate": "04/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "0732011032",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WP0809X",
          "TaxonomyName": "Adult Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "0001233393",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.