Carolyn Lee Johnson, WHNP, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Practice address

22285 Pepper Rd.
Suite 111
Lake Barrington, IL 60010

Phone

(847) 382-7330

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61178

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.

• Lake Barrington Womens Health Center PC

  • Specialist
  • Lake Barrington, IL
  • NPI 1558332940
  Medicare reassignment NPD
• Mobile Anesthesiologists Chicago LLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396887774
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285608307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144324",
            "telephone_number": "815-531-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 PEPPER RD.",
            "address_2": "SUITE 111",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-382-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLYN",
        "middle_name": "LEE",
        "credential": "WHNP, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Bone and Joint Institute, LLC
• Lisa R. Jackson, N.P.
• Ambili Mariam Jacob
• Jill S Jacobek, R.PH.
• William Joseph Jedlicka, PHD
• Karen R Glay
• George Katsamakis, M.D.
• Kirsten H Kershaw, MD
• Brian M Keuer, MD
• Aslam Mohammed Khaja, M.D.

• Women's Health Nurse Practitioner in Lake Barrington, IL
• Providers in Lake Barrington, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.