Jessica Danielle Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007592 Issued in KY

Practice address

234 West Porter St
Morgantown, KY 42261

Phone

(270) 526-9652

NPI assigned

Aug 6, 2012

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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ghayth Hammad MD PSCGroup PAC ID 2860584208, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ghayth Hammad, MD PSC

  • Specialist
  • Morgantown, KY
  • NPI 1366647075
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1407103898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WEST PORTER ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "42261",
            "telephone_number": "270-526-9652",
            "fax_number": "270-526-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WEST PORTER ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "42261",
            "telephone_number": "270-526-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Beth Hughes, APRN
• J. Todd Douglas, MD, PSC
• Jackson Chiropractic, PLLC
• Joseph Ryan Jackson, D.C.
• John Mark Jennings, LCSW, BCD
• Nolan Johnson
• Kentucky Christian Lab Services LLC
• Kentucky Christian Recovery, LLC (Kentucky Christian Recovery Residential)
• Kentucky Christian Recovery, LLC
• Andrea Kiernan, LPCC

• Family Nurse Practitioner in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.