Gloria Rae Johnson, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9200334 Issued in FL

Practice address

4031 Dixie Hwy NE
Palm Bay, FL 32905-3682

Phone

(321) 622-3222

NPI assigned

Aug 13, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Behavioral Care LLC

  • Prescribing (Medical) Psychologist
  • Melbourne, FL
  • NPI 1760772032
  NPD (past)

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1265808299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 DIXIE HWY NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053682",
            "telephone_number": "321-622-3222",
            "fax_number": "321-622-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 DIXIE HWY NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053682",
            "telephone_number": "321-622-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Columbus Ave",
            "address_2": "Advanced Behavioral Care",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-622-3222",
            "fax_number": "321-622-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GLORIA",
        "middle_name": "RAE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9200334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JMS Speech Therapy Services Inc
• JNR Care, LLC
• Lorraine Georgia John, ARNP
• Anquinette Johnson, RBT
• Concetta Ann Johnson
• Nicole Johnson
• Rebecca L Johnson
• Ruth Annette Johnson
• Samanthia Johnson, LPN
• Tara Demetria Johnson

• Family Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.