Ena Veronica Johnson, 200816 RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

20816 Issued in NY

Practice address

1220 Gerard Ave
Bronx New York
Bronx, NY 10452-8099

Phone

(718) 410-7698

Fax

(718) 588-3128

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ena Veronica Johnson Professional name

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1669748042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 GERARD AVE",
            "address_2": "BRONX NEW YORK",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528099",
            "telephone_number": "718-410-7698",
            "fax_number": "718-588-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 GERARD AVE",
            "address_2": "BRONX NEW YORK",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528099",
            "telephone_number": "718-410-7698",
            "fax_number": "718-588-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ENA",
        "middle_name": "VERONICA",
        "name_prefix": "Miss",
        "credential": "200816  RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "20816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENA",
            "last_name": "JOHNSON",
            "middle_name": "VERONICA",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daritza Johnson, FNP-C
• Deborah Johnson
• Debralee L Johnson, LMSW
• Diane Johnson
• Emma Elizabeth Johnson, MD
• Enrika Johnson
• Erica Johnson
• Frances Johnson
• Gail Venise Johnson, LMSW
• Geraldine Johnson, CASAC-T

• Student in an Organized Health Care Education/Training Program in Bronx, NY
• Providers in Bronx, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.