Jill Marie Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

148396-M-IV Issued in OH

Practice address

2224 Hazelhurst CT
Kettering, OH 45440-1137

Phone

(937) 367-9077

NPI assigned

Feb 17, 2013

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

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361059200000",
    "number": "1093055733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 HAZELHURST CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454401137",
            "telephone_number": "937-367-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 HAZELHURST CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454401137",
            "telephone_number": "937-367-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "148396-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joga Somatic Arts, LLC
• John C. Jump, MD, Inc
• John K Stull DC Inc
• David Johnson
• Dorene (Dodie) L Johnson, CNP
• Joshua Johnson
• Karen Johnson
• Kory Lee Johnson, LPC
• Michael D. Johnson, M.D.
• Ron Michael Johnson, MD

• Licensed Practical Nurse in Kettering, OH
• Providers in Kettering, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; 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.