Active NPI
Johanne Sajous Hhcsr
- Nurse Practitioner
- Lake Worth, FL
National Provider Identifier
1134760770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- JOHANNE SAJOUS HHCSR
- Practice address
- 9351 Pinto Dr
Lake Worth, FL 33467-1035 - Phone
- (571) 432-6769
- Fax
- (336) 279-1226
- NPI assigned
- Oct 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Farah Edwidge Johanne Sajous, FNP-C
- Title
- Owner
- Phone
- (571) 432-6769
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
9351 Pinto Dr
Lake Worth, FL 33467-1035
Mailing address
2627 Grimsley St
Greensboro, NC 27403-3135
Phone (336) 279-1227
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635897600000",
"number": "1134760770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 GRIMSLEY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274033135",
"telephone_number": "336-279-1227",
"fax_number": "336-279-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 PINTO DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334671035",
"telephone_number": "571-432-6769",
"fax_number": "336-279-1226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHANNE SAJOUS HHCSR",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-04",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A",
"authorized_official_last_name": "SAJOUS",
"authorized_official_first_name": "FARAH",
"authorized_official_middle_name": "EDWIDGE JOHANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-432-6769",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.