Active NPI
Janet Lee Johnson, NURSE AIDE
- Home Health Agency
- Greensboro, NC
National Provider Identifier
1104056217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 114639
- Practice address
- 1100 E Wendover Ave
Greensboro, NC 27405-6713 - Phone
- (336) 641-5610
- Fax
- (336) 641-5777
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 114639 | NC | Primary |
Addresses
Primary practice location
1100 E Wendover Ave
Greensboro, NC 27405-6713
Mailing address
1100 East Wendover Ave.
Greensboro, NC 27214
Phone (336) 641-5610
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114639 | NC | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1104056217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 EAST WENDOVER AVE.",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27214",
"telephone_number": "336-641-5610",
"fax_number": "336-641-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056713",
"telephone_number": "336-641-5610",
"fax_number": "336-641-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JANET",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NURSE AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "114639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.