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WHITNEY VICTORIA JOHNSON MD
NPI 1780265702
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 20, 2021PECOS Enrolled
420 DELAWARE ST SE # 284, MINNEAPOLIS, MN 55455(612) 626-5454 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, Apr 20, 2021 (2 updates tracked since 2021).

About Whitney Victoria Johnson Md NPPES

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

WHITNEY VICTORIA JOHNSON MD (NPI 1780265702) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (76108) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780265702
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameWHITNEY VICTORIA JOHNSONCredential: MD
Location Address420 DELAWARE ST SE # 284Minneapolis, MN 55455-0341
Mailing Address420 Delaware St Se # 284Minneapolis, MN 55455-0341 · (612) 626-5454
Phone(612) 626-5454
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1780265702 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
License✔ Licensed in MN · 76108
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.
420 DELAWARE ST SE # 284, Minneapolis, MN 55455
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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)

Whitney Victoria Johnson Md 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN RICHARDSON MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE # 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-4849

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 Whitney Johnson's NPI number?

The NPI number for Whitney Johnson is 1780265702. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Whitney Johnson located?

Whitney Johnson practices at 420 Delaware St SE # 284, Minneapolis, MN 55455. The listed phone number is (612) 626-5454.

What is Whitney Johnson's specialty?

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

Is Whitney Johnson enrolled in Medicare?

Yes. Whitney Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Whitney Johnson was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.