Reilly Johnston-Walsh, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3110 Grand Ave Apt 1107
Pinellas Park, FL 33782-6152

Phone

(717) 422-2866

NPI assigned

Sep 8, 2023

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• St. Joseph'S Hospital, Inc.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1447132634
  Medicare reassignment

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1093592685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GRAND AVE APT 1107",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRAND AVE APT 1107",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826152",
            "telephone_number": "717-422-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON-WALSH",
        "first_name": "REILLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juantera Johnson
• Kathleen Johnson
• Melina Johnson, M.ED.
• Rebecca Johnson
• Shannon Frances Johnson, ARNP
• Shirley L Jones
• Joseph Assouline, PSYD, LLC
• Mannette Joseph
• Monica Jukas, H.A.S.
• Javon Julbe

• Physician Assistant in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.