Individual provider Active NPI

Judy Johnson-Howey, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fruitland Park, FL
National Provider Identifier
1558932889
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11014135 Issued in FL
Practice address
1538 Hickory Ridge Dr
Fruitland Park, FL 34731-5384
Phone
(561) 380-8564
Fax
(949) 695-2431
NPI assigned
Jul 7, 2021
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018215 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905508 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221749 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209992 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71922 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 305086 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11014135 FL Primary

Addresses

Primary practice location

1538 Hickory Ridge Dr
Fruitland Park, FL 34731-5384

Mailing address

1538 Hickory Ridge Dr
Fruitland Park, FL 34731-5384
Phone (561) 380-8564

Other names 1

  • Judy Johnson Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721000317 FL Practitioner - Nurse Practitioner 4981007556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Science, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221749ARMDPsychiatric/Mental Health Nurse Practitioner
305086AZMDPsychiatric/Mental Health Nurse Practitioner
11014135FLMDPsychiatric/Mental Health Nurse Practitioner
3018215KYMDPsychiatric/Mental Health Nurse Practitioner
905508MSMDPsychiatric/Mental Health Nurse Practitioner
71922NMMDPsychiatric/Mental Health Nurse Practitioner
209992OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Healthier Minds Matter Corp Psychiatric/Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Brightside Medical, P.C. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

1110 Cowan Rd
#B
Gulfport, MS 39507
Phone (228) 254-3037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1558932889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 HICKORY RIDGE DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315384",
            "telephone_number": "561-380-8564",
            "fax_number": "949-695-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 HICKORY RIDGE DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315384",
            "telephone_number": "561-380-8564",
            "fax_number": "949-695-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-HOWEY",
        "first_name": "JUDY",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018215",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905508",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "221749",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "209992",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "71922",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "305086",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11014135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "JOHNSON",
            "credential": "MSN, APRN, PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fruitland Park, FL

Sources for this page

Verify at the official NPI Registry.