MYCHAEL GABRIELLE JOHNSON
NPI 1609677905
Student in an Organized Health Care Education/Training Program in Nashville, TN

Q: What is Mychael Johnson's NPI number?

The NPI number for Mychael Johnson is 1609677905. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Q: What is Mychael Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mychael Johnson was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2025PECOS Enrolled

510 RECOVERY RD STE 257, NASHVILLE, TN 37211(615) 781-4430 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Mar 22, 2025 (2 updates tracked since 2025).

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About Mychael Gabrielle Johnson NPPES

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

MYCHAEL GABRIELLE JOHNSON (NPI 1609677905) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609677905

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMYCHAEL GABRIELLE JOHNSON

Location Address510 RECOVERY RD STE 257Nashville, TN 37211-4874

Mailing Address510 Recovery Rd Ste 257Nashville, TN 37211-4874 · (615) 781-4430

Phone(615) 781-4430

Sole ProprietorYes

Enumeration DateMarch 22, 2025

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1609677905 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.

510 RECOVERY RD STE 257, Nashville, TN 37211

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mychael Gabrielle Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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