Active NPI
Yolanda Gail Johnson
- Licensed Practical Nurse
- Boynton Beach, FL
National Provider Identifier
1396961587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5157974
- Practice address
- 400 Via Lugano Cir Apt 109
Boynton Beach, FL 33436-7165 - Phone
- (561) 914-4098
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Clinical Nurse Specialist | 364SH0200X | RN9372891 | FL | |
| Licensed Practical Nurse | 164W00000X | PN5157974 | FL | Primary |
Addresses
Primary practice location
400 Via Lugano Cir Apt 109
Boynton Beach, FL 33436-7165
Mailing address
2240 W Woolbright Rd Ste 403
Boynton Beach, FL 33426-6367
Phone (561) 914-4098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5157974 | FL | MD | Licensed Practical Nurse |
| RN9372891 | FL | MD | Home Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & J Home Care and Transportation LLC | Current | Accepting new patients |
Locations
2240 W Woolbright Rd
Ste 403
Boynton Beach, FL 33426
Phone (561) 914-4098
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Boynton Beach, FL
- NPI 1952971210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624752000000",
"number": "1396961587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 W WOOLBRIGHT RD STE 403",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334266367",
"telephone_number": "561-914-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VIA LUGANO CIR APT 109",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367165",
"telephone_number": "561-914-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "YOLANDA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "364SH0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Home Health",
"state": "FL",
"license": "RN9372891",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5157974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.