Jolene Rebecca Johnson

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

132734 Issued in IA

Practice address

211 N Federal Ave
Mason City, IA 50401-3209

Phone

(319) 444-0184

NPI assigned

Oct 11, 2023

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

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1275314619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S VERMONT AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014248",
            "telephone_number": "319-444-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013209",
            "telephone_number": "319-444-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOLENE",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IA",
            "license": "132734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Burkley PSYD LLC
• JKD Investments, LLC
• Jared James Johanns, DPT
• Addison Johnson, LISW
• Breanna Jo Johnson, BA CADC
• Kaylee Johnson
• Mark C Johnson, MD
• Travis Johnson, MD
• Vanessa Sharee Johnson, LMFT
• Wade Aaron Johnson

• Community Health Registered Nurse in Mason City, IA
• Providers in Mason City, IA by specialty
• Community Health Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.