Kolu Leelee Johnson

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2024001913 Issued in NC

Practice address

6608 E W T Harris Blvd
Charlotte, NC 28215-5127

Phone

(704) 900-7761

Fax

(833) 948-3597

NPI assigned

Jul 10, 2024

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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

Mt Zion Medical and Nursing Services PAGroup PAC ID 1254426778, 4 clinicians

Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kolu.johnson.1@25903.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eventus WH Southeast, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1487494811
  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392
  Medicare reassignment Care Compare group NPD
• Mt Zion Medical and Nursing Services, PA

  • Family Nurse Practitioner
  • Matthews, NC
  • NPI 1316160641
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Shelby, NC
  • NPI 1649203431
  Care Compare affiliation

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1619714466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 RIDGE ACRES RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148204",
            "telephone_number": "704-281-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155127",
            "telephone_number": "704-900-7761",
            "fax_number": "833-948-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KOLU",
        "middle_name": "LEELEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "2024001913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Sheree Johnson, MSN, APRN, WHNP-BC
• Kelly M Johnson
• Ketty Johnson
• Khiari Johnson
• Kim Edward Johnson, M.D.
• Kristain Johnson, BSN
• Kristen Janine Johnson, MS
• Kyle Thomas Johnson, MD
• Lakeata Johnson, LICENSED COSMETOLOGI
• Lakisha Johnson

• Primary Care Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.