HATTIE JOHNSON
NPI 1790577179
Clinic/Center - Student Health in Southfield, MI

Q: What is Hattie Johnson's NPI number?

The NPI number for Hattie Johnson is 1790577179. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Q: What is Hattie Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Q: When was this NPI record last updated?

The NPPES record for Hattie Johnson was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 21, 2025

17250 W 12 MILE RD STE 211A, SOUTHFIELD, MI 48076(248) 508-2858 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Hattie Johnson NPPES

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

HATTIE JOHNSON (NPI 1790577179) is an individual student health provider in Southfield, Michigan and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1790577179

Entity TypeIndividualFemale

Primary Taxonomy261QS1000X

Provider Legal NameHATTIE JOHNSON

Location Address17250 W 12 MILE RD STE 211ASouthfield, MI 48076-2123

Mailing Address17250 W 12 Mile Rd Ste 211aSouthfield, MI 48076-2123 · (248) 508-2858

Phone(248) 508-2858

Sole ProprietorYes

Enumeration DateMay 21, 2025

NPPES CertifiedMay 21, 2025

✔ NPI 1790577179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

17250 W 12 MILE RD STE 211A, Southfield, MI 48076

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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 Hattie Johnson's NPI number?

The NPI number for Hattie Johnson is 1790577179. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Hattie Johnson located?

Hattie Johnson practices at 17250 W 12 Mile Rd Ste 211A, Southfield, MI 48076. The listed phone number is (248) 508-2858.

What is Hattie Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Hattie Johnson was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.