Carol Christine Johnson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3090472 Issued in FL

Practice address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915

Phone

(002) 268-8748

NPI assigned

Jul 26, 2013

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

Enrolled in FL, GA, VA, SC, NC5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• At Home Woundcare Inc

  • Specialist
  • Weston, FL
  • NPI 1205374493
  Medicare reassignment NPD
• Quality Surgical Management Inc

  • Surgery Physician
  • Hollywood, FL
  • NPI 1376758904
  Medicare reassignment NPD
• QSM-Ga, Inc

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356852123

  Family

  Medicare reassignment NPD
• QSM-NC, PA

  • Surgery Physician
  • Durham, NC
  • NPI 1881136893

  Family

  Medicare reassignment NPD
• Quality Surgical Management SC PA

  • Surgery Physician
  • North Augusta, SC
  • NPI 1508289638

  Family

  Medicare reassignment NPD
• Integrated Medical Direction

  • Internal Medicine Physician
  • Village of Golf, FL
  • NPI 1497825244
  NPD
• Medex Corp

  • Family Nurse Practitioner
  • Coral Springs, FL
  • NPI 1083452684
  NPD (past)
• Mental Health Counseling of South Florida LLC

  • Family Health Clinical Nurse Specialist
  • Miami Gardens, FL
  • NPI 1114317013
  NPD (past)
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1538501978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "002-268-8748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Rogersville Rd",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401609321",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "fax_number": "877-366-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Sparks Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "KY",
            "postal_code": "426292449",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "fax_number": "877-366-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 Faulkner Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401509",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "fax_number": "877-366-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "CHRISTINE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3090472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110003500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson Excellent Services Corp
• Johnson Medical Center
• Johnson Medical Center
• Johnson Medical Center Corp
• Melinda Johnson-Beckford
• Charles Johnson II, M D
• Christopher Johnson, DO
• Delecia. Johnson
• Emilee Ann Johnson, CRNA
• Harvey William Johnson, PHARM D

• Family Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.