Jeanine Daiana Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004730 Issued in FL

Practice address

18962 SW 94TH Ave
Cutler Bay, FL 33157-7958

Phone

(305) 510-0276

NPI assigned

Nov 13, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1376188367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18962 SW 94TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577958",
            "telephone_number": "305-510-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18962 SW 94TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577958",
            "telephone_number": "305-510-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEANINE",
        "middle_name": "DAIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "patients; printout of discharges",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "To be provided",
            "address_1": "18962 SW 94th Ave",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331577958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amparo Jimenez, RBT
• Janett Jimenez
• Simonne Jimenez, RN
• Vismary Jimenez
• Grace P. Johnson, MA, RD, LD
• Kentrelle Johnson, RN
• Lindon Johnson
• Jolly Home Inc
• Wendy Jones Perez
• Jorge Luna, DO

• Family Nurse Practitioner in Cutler Bay, FL
• Providers in Cutler 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 Nov 13, 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.