Thelma Elaine Johnson, RN.,RNFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

RN1475272 Issued in FL

Practice address

2201 45TH St
Columbia Hospital
West Palm Beach, FL 33407-2047

Phone

(561) 863-3855

Fax

(561) 881-5474

NPI assigned

Feb 27, 2007

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 identifiers 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467589267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 UNIVERSITY BLVD",
            "address_2": "#205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583079",
            "telephone_number": "561-630-4467",
            "fax_number": "561-630-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 45TH ST",
            "address_2": "COLUMBIA HOSPITAL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072047",
            "telephone_number": "561-863-3855",
            "fax_number": "561-881-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THELMA",
        "middle_name": "ELAINE",
        "credential": "RN.,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "RN1475272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "Y6109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanya Johnson
• Shawntel Johnson
• Tamara Natalee Johnson, MSW
• Tangela Johnson, PHARMD
• Terrie M Johnson, MD
• Lisa Johnston
• Shamekia Bridget Johnston
• Joint Therapeutics
• Wendy Joint
• Lovely Joji

• Surgical Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.