Kimberly L Johnson

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

14055 46TH Street North Suite 1102
Clearwater, FL 33762

Phone

(727) 509-4441

NPI assigned

Apr 3, 2020

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

Other names 1

• Miss Jacqueline F Edmonds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1164051850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 46TH STREET NORTH SUITE 1102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-509-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 46TH STREET NORTH SUITE 1102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-509-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "EDMONDS",
            "middle_name": "F",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessicah Johnson, MA
• Joe Johnson
• Joshua S Johnson, CRNA
• Kaitlyn B Johnson
• Kevin B Johnson, CRANIAL PROSTHESIS
• Leigh Anne Johnson, PA
• Michelle Johnson, APRN-BC
• Michelle L Johnson, D.O.
• Natesia Johnson
• Priscilla Johnson

• Homemaker in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.