Keeon Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4015 Ravine Dr
White Plains, MD 20695-3302

Phone

(202) 880-9313

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1033808951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 RAVINE DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953302",
            "telephone_number": "202-880-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 RAVINE DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953302",
            "telephone_number": "202-880-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEEON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Hosung Jo, DMD
• Johns Hopkins Community Physicians
• Johns Hopkins Community Physicians
• Johns Hopkins Community Physicians
• Johns Hopkins Community Physicians, Inc
• JPD Support Serivce
• Sadeka J Jude, MD
• Jillian Lacea Jumamil, PT, DPT
• Aditya Kadiyala, M.D.,
• Robert Emmett Kans Jr., MPT

• Case Manager/Care Coordinator in White Plains, MD
• Providers in White Plains, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.