Clarenda Johnson

Primary specialty

HomemakerTaxonomy code 376J00000X

License

233614 Issued in FL

Practice address

9064 Castle Blvd
Jacksonville, FL 32208-1602

Phone

(904) 651-4083

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Halos Over Hearts, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1245630516
  NPD (past) Authorized official

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1396153169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7164",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322380164",
            "telephone_number": "904-651-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9064 CASTLE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081602",
            "telephone_number": "904-651-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLARENDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "233614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA STATE LICENSE",
            "identifier": "233614",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Alanna Johnson, PT, DPT
• Cathryn McGill Johnson, MD
• Charles Johnson, M.D.
• Cherron Michelle Johnson, CRNA
• Christie Sapp Johnson, ARNP
• Cydnee Johnson
• D'Coda Johnson, DC
• Dana G Johnson, MSW
• Daniel Douglas Johnson, MD
• Dariell J Johnson, LMT

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.