Kasey Anne Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11468 Issued in FL

Practice address

1705 E Hwy 50 Ste B
Clermont, FL 34711-5186

Phone

(352) 394-7577

Fax

(352) 394-8000

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clermont Chiropractic Life Center

  • Chiropractor
  • Clermont, FL
  • NPI 1760495956
  NPD

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255952271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E HWY 50 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115186",
            "telephone_number": "352-404-4309",
            "fax_number": "352-394-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E HWY 50 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115186",
            "telephone_number": "352-394-7577",
            "fax_number": "352-394-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KASEY",
        "middle_name": "ANNE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@lifecenter.life",
            "affiliation": "Y",
            "endpointDescription": "Secure Email",
            "affiliationName": "Clermont Chiropractic Life Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1705 E Hwy 50",
            "address_2": "Ste B",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@lifecenter.life",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1705 E Hwy 50",
            "address_2": "Ste B",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashlea Eleanor Johnson, LCSW
• Christopher James Johnson, D.O.
• Christopher T Johnson, DMD
• Corey Demonne Johnson Jr.
• Jamien Johnson, PT
• Rebecca Johnson, MS, RMHCI
• Marissa Johnston, RBT
• Alicia Jasmine Jones, DC, BS, LMT
• Amanda Jones
• David John Jones

• Chiropractor in Clermont, FL
• Providers in Clermont, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.