Mary Miller-Johnson

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MARY MILLER-JOHNSON

Doing business as

Smile With A Heart of Love

Practice address

5420 Wood Crossing St
Orlando, FL 32811-7920

Phone

(407) 879-6062

NPI assigned

Feb 5, 2022

Last updated

Feb 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Miller-Johnson

Title

Ower/Administrator

Phone

(407) 879-6062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile With A Heart of Love Doing business as

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1336893734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 WOOD CROSSING ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117920",
            "telephone_number": "407-879-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WOOD CROSSING ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117920",
            "telephone_number": "407-879-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MILLER-JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "MILLER-JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWER/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-879-6062"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101952900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile With A Heart of Love",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.