Marcella C Johnson

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11000410 Issued in FL

Practice address

1532 SW Mapp Rd
Palm City, FL 34990-2446

Phone

(772) 223-2633

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1609431550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8985 THREE RAIL DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724335",
            "telephone_number": "954-401-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902446",
            "telephone_number": "772-223-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARCELLA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11000410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalie Jean
• Sophia Joachim
• Johanna Job
• John Malley MD (Martin Downs Foot Clinic)
• Anita Gail Johnson, RBT
• Vida Davia Johnson
• Byron Scott Johnston, M.S., CCC-SLP
• Onchelle Archelen Jolly
• Jones Physical Therapy (Level Up Physical Therapy & Wellness)
• Gabrielle Jones

• Pediatric Nurse Practitioner in Palm City, FL
• Providers in Palm City, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.