Ebonee L Johnson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9325356 Issued in FL

Practice address

3795 W Boynton Beach Blvd Ste a
Boynton Beach, FL 33436-4502

Phone

(561) 364-4840

NPI assigned

Aug 31, 2011

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital in Your Home USA IncGroup PAC ID 9537520069, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ebonee.johnson@conviva.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JEGJDD
• Direct secure messaging: ebonee.johnson.1@29601.direct.athenahealth.com
• Direct secure messaging: ejohnson@conviva.eclinicaldirectplus.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.

• Hospital in Your Home USA Inc

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1073299574

  Family

  Medicare reassignment Care Compare group NPD
• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1669753976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 W BOYNTON BEACH BLVD STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364502",
            "telephone_number": "561-364-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 W BOYNTON BEACH BLVD STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364502",
            "telephone_number": "561-364-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 NW Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349949303",
            "country_code": "US",
            "telephone_number": "772-934-6159 x3911",
            "fax_number": "772-934-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7593 Boynton Beach Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334376161",
            "country_code": "US",
            "telephone_number": "561-364-4840",
            "fax_number": "561-364-4068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 N Congress Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073381",
            "country_code": "US",
            "telephone_number": "561-844-4353",
            "fax_number": "561-844-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EBONEE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9325356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9325356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004101900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EJOHNSON@CONVIVA.ECLINICALDIRECTPLUS.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3795 W Boynton Beach Blvd Ste A",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334364502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebonee.johnson@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3795 W Boynton Beach Blvd Ste A",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334364502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johnny Michel, M.D., PLLC.
• Victoria Denise Johnson-McDuffie, FNP-C & FNP-BC
• Andrea Johnson
• Corlina M Johnson, AGPCNP-BC, AAHIVS
• Doreen Lynn Johnson, PA-C, MPH
• Jessica Lauren Johnson, MD
• Kobe Johnson
• Lashaun K Johnson
• Marcy Lynn Johnson, ARNP
• Teana Johnson

• Family Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.