Latina Brooks Johnson, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277045 Issued in NC

Practice address

315 W 2ND St
Greenville, NC 27834-1969

Phone

(252) 507-0588

Fax

(252) 378-9008

NPI assigned

Apr 14, 2020

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

Enrolled in NC, SC, NY, AL4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: latina.johnson@450368864321540.direct.elationemr.com

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Galileo Medical PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1659853687
  Medicare reassignment NPD
• Galileo Medical Group Al, P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1548033715
  NPD

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1669091187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 2ND ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341969",
            "telephone_number": "252-507-0588",
            "fax_number": "252-378-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 2ND ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341969",
            "telephone_number": "252-507-0588",
            "fax_number": "252-378-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATINA",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "277045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Ray Johnson, MD
• Elizabeth Johnson
• Franklin Duval Johnson III
• Kevin Scott Johnson, PA-C
• Lashana Johnson
• Leon Johnson, LCMHC-S
• Leonard Johnson, M.D.
• Lora Johnson, CRT
• Lynn R Johnson, MD
• Michael Johnson

• Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; 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.