Individual provider Active NPI

Sherry R Johnson, FNP-C

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1407468556
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182611 Issued in VA
Practice address
549 E Brambleton Ave
Norfolk, VA 23510-2905
Phone
(757) 533-9441
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182611 VA Primary

Addresses

Primary practice location

549 E Brambleton Ave
Norfolk, VA 23510-2905

Mailing address

5301 Providence Rd Ste 50
VA Beach, VA 23464-4128
Phone (757) 799-0837

Other practice location 1

5301 Providence Rd Ste 50
VA Beach, VA 23464-4128
Phone (757) 799-0837

Other identifiers 2

IdentifierTypeStateIssuer
1407468556MedicaidVA
GAA-NP000905OtherLICENSE

Other names 1

  • Sherry Ingram Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20260109001891 VA Practitioner - Nurse Practitioner 7012385685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1395 NW 167TH St
Miami, FL 33169-5710

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024182611VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaptivative Konsultants PLLC Dba Kaptivative Care and Wellness Current Accepting new patients
Community Health Care Systems, Inc CurrentSince Jul 15, 2022 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Jan 1, 2026 Accepting new patients
Community Health Care Systems, Inc CurrentSince Jul 15, 2022 Accepting new patients
Community Health Care Systems, Inc. Current Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1008 Atlanta Hwy
Warrenton, GA 30828
Phone (706) 465-3253

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

549 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 393-1136

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

5301 Providence Rd
Ste 50
Virginia Beach, VA 23464
Phone (757) 495-2228

Organizations & group practices 6

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1407468556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 PROVIDENCE RD STE 50",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234644128",
            "telephone_number": "757-799-0837",
            "fax_number": "757-861-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E BRAMBLETON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102905",
            "telephone_number": "757-533-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Providence Rd Ste 50",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "234644128",
            "country_code": "US",
            "telephone_number": "757-799-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHERRY",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407468556",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "GAA-NP000905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "JOHNSON",
            "middle_name": "INGRAM",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.