Polly Anna Johnson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

11470 88TH Ave
Seminole, FL 33772-3602

Phone

(727) 953-0261

Fax

(727) 623-0676

NPI assigned

Jan 16, 2019

Last updated

May 3, 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 2

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1659845311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 88TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723602",
            "telephone_number": "727-953-0261",
            "fax_number": "727-623-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 88TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723602",
            "telephone_number": "727-953-0261",
            "fax_number": "727-623-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "POLLY",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "J525-661-528-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Godwin LLC
• Regla Jimenez Reyes
• Jessica Corin Jimenez, PT, DPT
• Jennifer Henkel Johnson, D.M.D.
• Kenneth Todd Johnson
• Summer Johnson
• Timothy Harold Johnson, RN
• Charyll Thaxton Jones, BHT
• Courtney Jones, APRN
• Demetrius Jones

• Personal Care Attendant in Seminole, FL
• Providers in Seminole, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.