Provider Demographics
NPI:1104092030
Name:JOHNSON, KARMEISHA MONIQUE (RRT)
Entity type:Individual
Prefix:MRS
First Name:KARMEISHA
Middle Name:MONIQUE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5738 PECAN TRCE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-0249
Mailing Address - Country:US
Mailing Address - Phone:901-237-9949
Mailing Address - Fax:
Practice Address - Street 1:5738 PECAN TRCE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-0249
Practice Address - Country:US
Practice Address - Phone:901-237-9949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40192279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care