Individual provider Active NPI

Jahnique Sackiya Johnson, WHNP

  • Women's Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1114797933
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421693 Issued in NY
Practice address
828 E 215TH St
Bronx, NY 10467-5813
Phone
(332) 209-9226
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421693 NY Primary

Addresses

Primary practice location

828 E 215TH St
Bronx, NY 10467-5813

Mailing address

828 E 215TH St
Bronx, NY 10467-5813
Phone (332) 209-9226

Other names 1

  • Ms. Jahnique Sackiya Johnson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F421693NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Feb 7, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 7, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Feb 7, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 7, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince May 10, 2024 Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1114797933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E 215TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675813",
            "telephone_number": "332-209-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E 215TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675813",
            "telephone_number": "332-209-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAHNIQUE",
        "middle_name": "SACKIYA",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAHNIQUE",
            "last_name": "JOHNSON",
            "middle_name": "SACKIYA",
            "prefix": "MS.",
            "credential": "WHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.