Individual provider Active NPI

Harrieth J Johnny, APRN

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1689454977
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028795 Issued in FL
Practice address
9409 SW 18TH St
Miramar, FL 33025-4724
Phone
(954) 309-7354
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11028795 FL Primary

Addresses

Primary practice location

9409 SW 18TH St
Miramar, FL 33025-4724

Mailing address

9409 SW 18TH St
Miramar, FL 33025-4724
Phone (954) 309-7354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240516002691 NY Practitioner - Nurse Practitioner 5294176509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ulster Physician Medicine Services PCGroup PAC ID 8527563931, 72 clinicians

Practice addresses (Care Compare)

68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 794-3300

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11028795FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ulster Physician Medicine Services PC CurrentSince Oct 25, 2025 Accepting new patients
Garnet Health Medical Center Past Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

Organizations & group practices 3

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 & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1689454977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 SW 18TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254724",
            "telephone_number": "954-309-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 SW 18TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254724",
            "telephone_number": "954-309-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNNY",
        "first_name": "HARRIETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.