Julie Johnson, APRN, RN, BSN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN11019989 Issued in FL

Practice address

250 S Wickham Rd
Melbourne, FL 32904-1134

Phone

(321) 752-5210

NPI assigned

Jun 13, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: julie.johnson.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1407586480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CHALET AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033007",
            "telephone_number": "321-917-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041134",
            "telephone_number": "321-752-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11019989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Renea Johnson, RDN, CPT
• David Nichols Johnson, CRNA
• Gracie Johnson
• Jalaya Johnson
• Jody Johnson, APRN
• Kathleen C Johnson, APRN, CNM
• Kenneth Edward Johnson, PHARMD
• Khatriena D Johnson, APRN
• Lena E Johnson, MD
• Lindsey Johnson

• All providers in Melbourne, FL
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.