Ellaina Johnson-Antes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7843 Issued in AZ

Practice address

14672 N Frnkllydw Blvd
Scottsdale, AZ 85260-2043

Phone

(602) 770-6874

NPI assigned

Jan 12, 2015

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Social Work Associates LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1538573282
  Medicare reassignment NPD
• Palm Vein Center LLC

  • Clinic/Center
  • Surprise, AZ
  • NPI 1437401106
  NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1851780001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14672 N FRNKLLYDW BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602043",
            "telephone_number": "602-770-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14672 N FRNKLLYDW BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602043",
            "telephone_number": "602-770-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ANTES",
        "first_name": "ELLAINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Louise John, SLP
• Gilbert Cicero Johns IV
• Johnson Dental Group
• Johnson Wellness LLC
• Johnson Wellness LLC
• Erica T Johnson-Brown, LCSW
• Alec Johnson, DO
• Alyssa Johnson
• Baylee Johnson, NP
• Brooks Wallace Johnson, MD

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.