Elba Marina Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5248559 Issued in FL

Practice address

31 Barkley Cir
Fort Myers, FL 33907-7628

Phone

(239) 600-7165

NPI assigned

Jul 17, 2023

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)

Enrolled

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.

• Barkley Healthcare Group LLC

  • Licensed Practical Nurse
  • Fort Myers, FL
  • NPI 1548949399
  NPD Authorized official
• Golden Years Enterprises LLC

  • Assisted Living Facility
  • Cape Coral, FL
  • NPI 1811467897
  NPD Authorized official
• Larry D Johnson DC LLC

  • Chiropractor
  • Cape Coral, FL
  • NPI 1366771370
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1669151577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13231 SEASIDE HARBOUR DR",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339037118",
            "telephone_number": "239-565-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077628",
            "telephone_number": "239-600-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Hancock Bridge Pkwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339901715",
            "country_code": "US",
            "telephone_number": "239-574-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELBA",
        "middle_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5248559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Johnson, PT, DPT
• Courtney Johnson
• David Paul Johnson, M.D.
• Dedrick Lamont Johnson Jr., MA, RMHCI
• Edward S Johnson, MD
• Grace Elizabeth Johnson, PA-C
• Jaimee Nicole Johnson, RN
• Kelly B Johnson, ARNP
• Keri Johnson, PHARM. D.
• Kyla Johnson

• Licensed Practical Nurse in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.