Active NPI
Korita Johnson, APRN
- Primary Care Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- ARNP9328169
- Practice address
- 1150 45TH St
West Palm Beach, FL 33407-2361 - Phone
- (561) 514-5300
- Fax
- (561) 514-5538
- NPI assigned
- Jul 16, 2014
- Last updated
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9328169 | FL | Primary |
Addresses
Primary practice location
1150 45TH St
West Palm Beach, FL 33407-2361
Mailing address
800 Clematis St Ste 5-531
West Palm Beach, FL 33401-5107
Phone (561) 671-4043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S Pine Island Rd
Suite 350
Plantation, FL 33324-4409
Phone (954) 624-7900
3501 Johnson St
FL 1
Hollywood, FL 33021-5421
Phone (954) 265-7750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9328169 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Life Equity Healthcare LLC | Current | Accepting new patients | |
| Episource LLC | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Broward Florida LLC | Current | Accepting new patients | |
| Optimize Health LLC | Primary Care | Current | Accepting new patients |
| Seasons Medical Group of Florida PA | Current | Accepting new patients | |
| Doctors House Calls of Florida, LLC | Current | Accepting new patients | |
| Wound Technology Network Inc | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients | |
| Rmed LLC | Past | Accepting new patients |
Locations
500 W 190th St
Fl 4
Gardena, CA 90248
Phone (424) 292-2923
1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900
3501 Johnson St
Fl 1
Hollywood, FL 33021
Phone (954) 265-7750
1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800
1951 SW 172nd Ave
Ste 404
Miramar, FL 33029
Phone (954) 265-0000
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
603 N Flamingo Rd
Ste 260
Pembroke Pines, FL 33028
Phone (954) 265-7750
801 N Flamingo Rd
Pembroke Pines, FL 33028
Phone (954) 844-6868
1200 S Pine Island Rd
Ste 350
Plantation, FL 33324
Phone (954) 624-7900
1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497
12332 Race Track Rd
Tampa, FL 33626
Phone (813) 756-4383
1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300
800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560
800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036
Interoperability endpoints
- https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4
Organizations & group practices 14
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.
-
dba AccentCare Medical Group of Florida
- Internal Medicine Physician
- Miami, FL
- NPI 1710238381
-
dba Memorial Division of Advanced Heart Failure
- Advanced Heart Failure and Transplant Cardiology Physician
- Hollywood, FL
- NPI 1962991562
-
dba House Calls Express
- Internal Medicine Physician
- Stuart, FL
- NPI 1750756276
-
dba Palm Beach County Health Department
- Public Health or Welfare Agency
- West Palm Beach, FL
- NPI 1134189103
-
- Infectious Disease Physician
- Orlando, FL
- NPI 1962601393
-
- Health Service Clinic/Center
- Pembroke Pines, FL
- NPI 1174140438
-
- Primary Care Nurse Practitioner
- Pembroke Pines, FL
- NPI 1679346266
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1164943957
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
dba AccentCare Hospice & Palliative Care of Broward County
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1467851840
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital West
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
dba Memorial Regional Hospital
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1528475183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CLEMATIS ST STE 5-531",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015107",
"telephone_number": "561-671-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072361",
"telephone_number": "561-514-5300",
"fax_number": "561-514-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KORITA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9328169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.