Jarica Johnson, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-171296 Issued in AL

Practice address

3737 Government Blvd Ste 408
Mobile, AL 36693-4362

Phone

(251) 602-1911

NPI assigned

Dec 29, 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

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Bay Area Community Medicine, PC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1043258700
  Medicare reassignment NPD
• Quality Healthcare Resources LLC

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1205081437

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1538872064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD STE 408",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD STE 408",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934362",
            "telephone_number": "251-602-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JARICA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-171296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald E. Johnson, CRNA
• Eric Charles Johnson, M.D.
• Fred Thomas Johnson, DMD
• George Michael Johnson Jr., D.P.M.
• Jared M Johnson, DO
• Jasmine Johnson, PHARMD
• Jayla D Johnson
• Jennifer Davis Johnson, PA-C
• Jo Anna Johnson, LPC
• Joel Scott Johnson II, DO

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.