Active NPI
Felecia Maxine Johnson, PNP
- Pediatric Nurse Practitioner
- Franklin, TN
National Provider Identifier
1063456861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN14451
- Practice address
- 100 Covey Dr Ste 310
Franklin, TN 37067-5663 - Phone
- (615) 661-7888
- Fax
- (615) 661-9001
- NPI assigned
- Jun 15, 2006
- Last updated
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14451 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | APN14451 | TN | Primary |
Addresses
Primary practice location
100 Covey Dr Ste 310
Franklin, TN 37067-5663
Mailing address
PO Box 681508
Franklin, TN 37068-1508
Phone (615) 661-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518226 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14451 | TN | MD | Nurse Practitioner |
| APN14451 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- felecia.johnson.1@31800.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Smyrna, TN
- NPI 1467781690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1063456861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681508",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681508",
"telephone_number": "615-661-7888",
"fax_number": "615-661-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COVEY DR STE 310",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675663",
"telephone_number": "615-661-7888",
"fax_number": "615-661-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "FELECIA",
"middle_name": "MAXINE",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "14451",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN14451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518226",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.