1. Home
  2. Directory
  3. Maryland
  4. Shady Side
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

IMANI JOHNSON
NPI 1417761602
Student in an Organized Health Care Education/Training Program in Shady Side, MD

Active since February 06, 2025
1200 GROVE AVE, SHADY SIDE, MD 20764(323) 629-5749 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMANI JOHNSON (NPI 1417761602) is an individual student in an organized health care education/training program in Shady Side, Maryland and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1417761602
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIMANI JOHNSON
Location Address1200 GROVE AVEShady Side, MD 20764-9536
Mailing Address1200 Grove AveShady Side, MD 20764-9536
Phone(323) 629-5749
Sole ProprietorNo
Enumeration DateFebruary 6, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1417761602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 GROVE AVE, Shady Side, MD 20764
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imani Johnson's NPI number?

The NPI number for Imani Johnson is 1417761602. It was assigned to this individual provider in the NPPES registry on February 6, 2025.

Where is Imani Johnson located?

Imani Johnson practices at 1200 Grove Ave, Shady Side, MD 20764. The listed phone number is (323) 629-5749.

What is Imani Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Imani Johnson was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.