Mary Davis Johnson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2974502 Issued in FL

Practice address

4130 Salisbury Rd
Jacksonville, FL 32216-8031

Phone

(904) 303-3193

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care at Home Companions LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1821555905
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1437704269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9438 ARBOR OAK LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322088428",
            "telephone_number": "904-303-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168031",
            "telephone_number": "904-303-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "2974502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorissa Marie Johnson
• Madeline Johnson
• Margaret Johnson
• Margaret Johnson, MD
• Mari Johnson, APRN
• Matthew Johnson, RN
• Melissa Ca Johnson, CD(DONA), HBCE
• Michael A Johnson, MD
• Monet Johnson
• Monica Johnson, DNP, APRN-C

• Home Health Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.