Concetta Ann Johnson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

181 Salmon Dr NE
Palm Bay, FL 32907-1236

Phone

(321) 537-0119

NPI assigned

Jul 15, 2020

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

Other names 1

• Ms. Concetta Ann Byrne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1457969552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SALMON DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071236",
            "telephone_number": "321-537-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SALMON DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071236",
            "telephone_number": "321-537-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONCETTA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONCETTA",
            "last_name": "BYRNE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gladysbel Jimenez
• JMS Speech Therapy Services Inc
• JNR Care, LLC
• Lorraine Georgia John, ARNP
• Anquinette Johnson, RBT
• Gloria Rae Johnson, NURSE PRACTITIONER
• Nicole Johnson
• Rebecca L Johnson
• Ruth Annette Johnson
• Samanthia Johnson, LPN

• Developmental Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.