Cathy Spencer Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5177811 Issued in FL

Practice address

519 Country LN
Havana, FL 32333-1501

Phone

(850) 509-2847

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Electronic endpoints 2

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1679227169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 COUNTRY LN",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331501",
            "telephone_number": "850-509-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 COUNTRY LN",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331501",
            "telephone_number": "850-509-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 Gibson Sawmill Rd",
            "address_purpose": "LOCATION",
            "city": "Havana",
            "state": "FL",
            "postal_code": "323334494",
            "country_code": "US",
            "telephone_number": "850-509-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CATHY",
        "middle_name": "SPENCER",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5177811",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Havana",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "519 Country Ln",
            "city": "Havana",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323331501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Havana",
            "affiliation": "N",
            "endpointDescription": "Group Home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "519 Country Ln",
            "city": "Havana",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323331501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Houston, NP
• Marsha Perkins Hunter
• Arianna Jackson
• Fantasha Jackson, MSW
• Latonya R. Jackson
• Kim Jones
• Oretha Diane Jones, ARNP
• Rickie Jones
• Rita Maxine Jungman, R.N.,A.R.N.P.
• Kalivia S Angelic Hands

• Licensed Practical Nurse in Havana, FL
• Providers in Havana, 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 Feb 4, 2022; 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.