Jazzmina Johnson, APRN-RX

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1857 Issued in HI

Practice address

315 Kuulei Rd
Kailua, HI 96734-2702

Phone

(808) 286-0350

NPI assigned

Mar 7, 2014

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

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• University Clinical Education & Research Associates

  • Specialist
  • Honolulu, HI
  • NPI 1013966845
  Medicare reassignment

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1104242668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 KUULEI RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342702",
            "telephone_number": "808-286-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 KUULEI RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342702",
            "telephone_number": "808-286-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAZZMINA",
        "name_prefix": "Mrs.",
        "credential": "APRN-RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "70011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Johnson
• Christopher A. Johnson, M.D.
• Christopher M Johnson, LMT
• Destiney Alise Johnson, M.S.
• Eric Alan Johnson, M.D.
• Jenni Johnson, PTA, LMT
• Jennifer Bliss Johnson
• Johhna G Johnson, MSPT
• Leon Ajayi Johnson, D.D.S.
• Madison Johnson

• Family Nurse Practitioner in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.