Active NPI
Amber Camille Johnson, CNS
- Gerontology Clinical Nurse Specialist
- Jacksonville, FL
National Provider Identifier
1093424616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- APRN11012587
- Practice address
- 8283 Baymeadows Rd E Apt 1301
Jacksonville, FL 32256-3060 - Phone
- (313) 595-8609
- NPI assigned
- Nov 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | APRN11012587 | FL | Primary |
Addresses
Primary practice location
8283 Baymeadows Rd E Apt 1301
Jacksonville, FL 32256-3060
Mailing address
8283 Baymeadows Rd E Apt 1301
Jacksonville, FL 32256-3060
Phone (313) 595-8609
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11012587 | FL | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1093424616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8283 BAYMEADOWS RD E APT 1301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563060",
"telephone_number": "313-595-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8283 BAYMEADOWS RD E APT 1301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563060",
"telephone_number": "313-595-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMBER",
"middle_name": "CAMILLE",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "FL",
"license": "APRN11012587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.