Octavia Samteshia Johnson, CNA

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

919 S 25TH St Apt 2-102
Fort Pierce, FL 34947-4602

Phone

(772) 801-7771

NPI assigned

Sep 5, 2022

Last updated

Jan 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divine and Compassionate Care LLC

  • In Home Supportive Care Agency
  • Fort Pierce, FL
  • NPI 1124731443
  NPD Authorized official

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1184345605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S 25TH ST APT 2-102",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474602",
            "telephone_number": "772-801-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S 25TH ST APT 2-102",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474602",
            "telephone_number": "772-801-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OCTAVIA",
        "middle_name": "SAMTESHIA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Unique Johnson
• Erica Ayanna Johnson, BSW
• Konica Johnson
• Laqunda Johnson
• Moses Johnson, DDS
• Rashandia Johnson, BA
• Stacy S Johnson, MSW
• Tishunda Dorice Johnson, M.S., CCC, SLP
• Jay Hunter Johnston, PA-C
• Roxxann Johnston

• Homemaker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.