Active NPI
Kayla Work Johnson, DNP
- Family Nurse Practitioner
- Smithfield, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016503
- Practice address
- 410 Canterbury Rd
Smithfield, NC 27577-4861 - Phone
- (919) 934-5149
- NPI assigned
- May 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016503 | NC | Primary |
Addresses
Primary practice location
410 Canterbury Rd
Smithfield, NC 27577-4861
Mailing address
410 Canterbury Rd
Smithfield, NC 27577-4861
Phone (919) 934-5149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920002412 | NC | Practitioner - Nurse Practitioner | 2567847072 | Reassigns benefits to 3 organizations |
| I20241011002297 | VA | Practitioner - Nurse Practitioner | 2567847072 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivx Health of North Carolina P.C.
Practice addresses (Care Compare)
8680 Rachel Freeman Way
Suite B
Charlotte, NC 28278-9567
Phone (980) 890-7788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016503 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care Fuquay PLLC | Current | Accepting new patients | |
| Ivx Health of North Carolina, P.C. | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients |
Locations
2230 Walnut St
Cary, NC 27518
Phone (919) 921-8887
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
9200 Harris Corners Pkwy
Ste A
Charlotte, NC 28269
Phone (704) 342-9011
8680 Rachel Freeman Way
Ste B
Charlotte, NC 28278
Phone (980) 890-7788
7011 Fayetteville Rd
Ste 107
Durham, NC 27713
Phone (984) 250-6564
1298 N Main St
Fuquay Varina, NC 27526
Phone (919) 590-4099
640 Timber Dr E
Ste 110
Garner, NC 27529
Phone (919) 910-0858
4024 E Franklin Blvd
Ste 150
Gastonia, NC 28056
Phone (980) 470-4226
4205 W Wendover Ave
Ste D
Greensboro, NC 27407
Phone (336) 510-2625
4001 Widewaters Pkwy
Ste J
Knightdale, NC 27545
Phone (984) 298-2111
2309 Matthews Township Pkwy
Ste 101
Matthews, NC 28105
Phone (615) 610-3733
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
7901 Falls of Neuse Rd
Ste 105109
Raleigh, NC 27615
Phone (919) 913-8757
410 Canterbury Rd
Smithfield, NC 27577
Phone (919) 934-5149
205 S Stratford Rd
Winston Salem, NC 27103
Organizations & group practices 4
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.
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1164045746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CANTERBURY RD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774861",
"telephone_number": "919-934-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CANTERBURY RD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774861",
"telephone_number": "919-934-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAYLA",
"middle_name": "WORK",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
- 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.