Jada Johnson, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

28231003A Issued in IN

Practice address

814 S 6TH St
Monticello, IN 47960-8199

Phone

(574) 583-9337

NPI assigned

Dec 28, 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

Registered Nurse

State licenses

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1457064164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608199",
            "telephone_number": "574-583-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JADA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IN",
            "license": "28231003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health White Memorial Hospital Inc
• Indiana University Health White Memorial Hospital Inc
• Indiana University Health White Memorial Hospital, Inc
• Brooke Johnson, DMHA CMHW
• Harold E Johnson, D.C.
• Judy A Kanelos, EXECUTIVE DIRECTOR
• Aswin Ratna Kansakar
• Tracy L Kauffman, LCSW
• Jeannie Kennell
• Chloe Kistler

• Gerontology Registered Nurse in Monticello, IN
• Providers in Monticello, IN by specialty
• Gerontology Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.