Active NPI
Kalaundra Johnson, ARNP
- Family Nurse Practitioner
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9195782
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5156 - Phone
- (904) 639-3971
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9195782 | FL | Primary |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5156
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone (904) 639-3971
Other practice location 1
6477 103rd St
Jacksonville, FL 32210-7129
Phone (904) 772-3300
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9195782 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Oliver Emergency Group, LLC | Current | Accepting new patients | |
| Avecina Medical, PA | Current | Accepting new patients | |
| Avecina Medical PA | Current | Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Current | Accepting new patients |
Locations
4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372
6477 103rd St
Jacksonville, FL 32210
Phone (904) 639-8517
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977
1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2674 Capital Cir SE
Tallahassee, FL 32311
Phone (850) 325-5888
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1013675016
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1215082003
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1962200717
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
-
- Hospitalist Physician
- Clearwater, FL
- NPI 1811179831
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1457012940
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1548921034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1821593252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735156",
"telephone_number": "904-639-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735156",
"telephone_number": "904-639-3971"
}
],
"practiceLocations": [
{
"address_1": "6477 103rd St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322107129",
"country_code": "US",
"telephone_number": "904-772-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KALAUNDRA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9195782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.