IndividualActive
Detric Johnson
NPI 1568958890 · Community Health Worker · Buffalo, NY
Detric Johnson is a Community Health Worker provider in Buffalo, NY (NPI 1568958890).
Provider details
- NPI number
- 1568958890
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
535 Wyoming Ave Ste 1
Buffalo, NY 14215-3137
Phone: (716) 253-1847
Fax: (716) 845-3511
Street-level locationGet directions
Mailing address
535 Wyoming Ave Ste 1
Buffalo, NY 14215-3137
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2019-06-06
Frequently asked questions
- What is Detric Johnson's NPI number?
- Detric Johnson's National Provider Identifier (NPI) is 1568958890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Detric Johnson's specialty?
- Detric Johnson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Detric Johnson located?
- Detric Johnson's practice location on file with NPPES is 535 Wyoming Ave Ste 1, Buffalo, NY 14215-3137.
- What is Detric Johnson's phone number?
- The practice phone number listed in the NPPES registry for Detric Johnson is (716) 253-1847.
- Is Detric Johnson's NPI active?
- Yes — Detric Johnson's NPI (1568958890) is active in the NPPES registry as of the last update on 2019-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.