Alysha Evelina Henry-Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104903 Issued in FL

Practice address

1971 E 4TH St Ste 200
Santa Ana, CA 92705-3917

Phone

(888) 959-5192

NPI assigned

Jan 29, 2009

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

Other names 1

• Ms. Alysha Evelina Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Visiting Health Services of South Florida

  • Clinic/Center
  • Pembroke Pines, FL
  • NPI 1992329320
  NPD Authorized official
• FL - I Medical Services LLC

  • Nurse Practitioner
  • Aventura, FL
  • NPI 1275808701

  Physician Assistant

  NPD
• Ambulatory Care Physicians of Sarasota LLC

  • General Practice Physician
  • Sarasota, FL
  • NPI 1417986084
  NPD (past)
• Emergency Physician Solutions of South Florida, LLC

  • Emergency Medicine Physician
  • Atlantis, FL
  • NPI 1609298181

  Physician Assistant

  NPD (past)
• Northport Emergency Associates, PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • North Port, FL
  • NPI 1881835569
  NPD (past)
• Sarasota Emergency Associates PA

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1831175306
  NPD (past)
• Sierra Vista Hospital

  • Rural Health Clinic/Center
  • Truth Or Consequences, NM
  • NPI 1689638942
  NPD (past)
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1659519601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 166TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281341",
            "telephone_number": "754-777-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053917",
            "telephone_number": "888-959-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 NW 166th Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281341",
            "country_code": "US",
            "telephone_number": "754-777-0794",
            "fax_number": "754-218-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY-JOHNSON",
        "first_name": "ALYSHA",
        "middle_name": "EVELINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSHA",
            "last_name": "JOHNSON",
            "middle_name": "EVELINA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan Hennessey
• Naida Amelia Hennessey
• Alexis Henningsen
• Shannon Diane Henningsen, PHARM.D.
• Henry Heung-Hwan Wee MD Inc
• Theresa Michele Henry, P.A-C
• Veronica Lynette Hensley
• Arcelia Heraldez
• Elizabeth Anne Herbst-Collins, PA
• Isel Heredia

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.