Denise C Johnson Nurse Practitioner in Family Health PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

DENISE C JOHNSON NURSE PRACTITIONER IN FAMILY HEALTH PLLC

Practice address

12802 111TH Ave
South Ozone Park, NY 11420-1607

Phone

(347) 306-5064

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Denise Johnson

Title

FNP

Phone

(347) 306-5064

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1215760699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201607",
            "telephone_number": "347-306-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201607",
            "telephone_number": "347-306-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE C JOHNSON NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "347-306-5064"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Nicole Davidson, RN
• Aeryal Renee Davison-Cruz
• Samantha Anne De Luca, LMSW
• Jillian Alexis Degnan
• Cara Denenberg, LMSW
• Dinesha D Deonarine, PT, DPT
• Karla Desire, RN
• Sharifa Dewar, LPN
• Natasha Dezonie, LMSW
• Yakeen Dinmahamad

• Primary Care Nurse Practitioner in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.