Kaysan Johnson-Owens, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R153197 Issued in MD

Practice address

3900 Loch Raven Blvd BLDG 2
Baltimore, MD 21218-2108

Phone

(443) 401-1155

NPI assigned

Apr 27, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• Body Basics Wellness Center LLC

  • Primary Care Clinic/Center
  • Reisterstown, MD
  • NPI 1891494811
  NPD

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1295979854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-A MAIN STREET",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363622",
            "telephone_number": "410-702-7354",
            "fax_number": "443-569-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LOCH RAVEN BLVD BLDG 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182108",
            "telephone_number": "443-401-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42-A Main Street",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211363622",
            "country_code": "US",
            "telephone_number": "410-702-7354",
            "fax_number": "443-569-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-OWENS",
        "first_name": "KAYSAN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R153197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9240055",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janiah Dante Johnson Clark
• Johnson Homes of Baltimore, Inc.
• Sonya Johnson-Branch, PTA
• Pawn Johnson-Hunter, NURSE PRACTITIONER
• Beatrice Lorraine Johnson-Jones
• Jillian Johnson-Ruben, LMSW
• Joi Adria Johnson-Weaver, M.D.
• Aaron J Johnson, MD
• Adam Johnson, LGPC
• Adanna J Johnson, PH.D.

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.