Beverly Ann Johnson, ADMINISTRATOR

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

FCL-032-107 Issued in NC

Practice address

5304 Yaroley Ter.
Durham, NC 27707

Phone

(919) 937-9997

NPI assigned

Apr 26, 2012

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pleasant Health Agency LLC

  • In Home Supportive Care Agency
  • Durham, NC
  • NPI 1467044784
  NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1043578164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 YAROLEY TER.",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-937-9997",
            "fax_number": "919-937-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 YAROLEY TER.",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-937-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NC",
            "license": "FCL-032-107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Lewis Johnson
• Ariane Johnson
• Ashley Nicole Johnson
• Ava Johnson, LPCA
• Beverly Johnson, M.ED CCC-SLP
• Breonne Johnson
• Caprisse Alishe Johnson, MS, RDN, CSO, LDN
• Carlton Johnson
• Carol Adrienne Johnson
• Catriona Elspeth Johnson, MSW, LCSW-A

• Adult Companion in Durham, NC
• Providers in Durham, NC by specialty
• Adult Companion in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.