Katrina M Johnson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

10225 Magnolia Ridge Dr
Jacksonville, FL 32210-4991

Phone

(904) 923-3505

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Five Star Quality Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
  • NPI 1013542042
  NPD (past) Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1063970358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 MAGNOLIA RIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104991",
            "telephone_number": "904-923-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 MAGNOLIA RIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104991",
            "telephone_number": "904-923-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATRINA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100716400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jquinn Johnson
• Julieann Johnson, PA
• Kaitlyn Johnson, PA-C
• Kasie Lynn Johnson
• Kathleen Noel Johnson, LMHC
• Kenneth Johnson
• Kenya Frederick Johnson, PHARMD
• Kiara Atheria Johnson
• Kimberly Ann Johnson
• Kimberly Greenwood Johnson, AUDIOLOGIST

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.