Individual provider Active NPI

Yolanda Gail Johnson

  • Licensed Practical Nurse
  • Boynton Beach, FL
National Provider Identifier
1396961587
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5157974 Issued in FL
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

Updated by the provider on Jun 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PN5157974FLMDLicensed Practical Nurse
RN9372891FLMDHome Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
J & J Home Care and Transportation LLC CurrentSince Jul 4, 2021 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.

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.

Verify at the official NPI Registry.