Active NPI
Kelli Renee Johnson, CPM, LM, EMT
- Midwife
- Winter Springs, FL
National Provider Identifier
1881643039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW162
- Practice address
- 802 Fisher Rd
Winter Springs, FL 32708-3642 - Phone
- (407) 699-4207
- Fax
- (407) 699-7897
- NPI assigned
- May 8, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW162 | FL | Primary |
Addresses
Primary practice location
802 Fisher Rd
Winter Springs, FL 32708-3642
Mailing address
802 Fisher Rd
Winter Springs, FL 32708-3642
Phone (407) 699-4207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744426 | Other | FL | AETNA PROVIDER NUMBER |
| Y041K | Other | FL | BCBS PROVIDER NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW162 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881643039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 FISHER RD",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327083642",
"telephone_number": "407-699-4207",
"fax_number": "407-699-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 FISHER RD",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327083642",
"telephone_number": "407-699-4207",
"fax_number": "407-699-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KELLI",
"middle_name": "RENEE",
"credential": "CPM, LM, EMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "744426",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO",
"identifier": "Y041K",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.