Johanna Job

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007797 Issued in FL

Practice address

4181 SW High Meadows Ave
Palm City, FL 34990-3725

Phone

(772) 221-7620

NPI assigned

Sep 20, 2020

Sex

Female

Sole proprietor

No

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 FL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Council on Aging of Martin County IncGroup PAC ID 0648334953, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• The Council on Aging of Martin County Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Stuart, FL
  • NPI 1770855405
  Medicare reassignment Care Compare group NPD
• Access 365 Urgent Care LLC

  • Urgent Care Clinic/Center
  • Palm City, FL
  • NPI 1992242895
  NPD (past)

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

• Concierge Home Care of Port St Lucie LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1184222549
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1891301396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 SW HIGH MEADOWS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903725",
            "telephone_number": "772-221-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 SW HIGH MEADOWS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903725",
            "telephone_number": "772-221-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOB",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.S. Davis L.L.C.
• Cheridah James, RBT
• Nicole Lynn Jared, RBT
• Kalie Jean
• Sophia Joachim
• John Malley MD
• Anita Gail Johnson, RBT
• Ashley Johnson, BCBA
• Marcella C Johnson
• Vida Davia Johnson

• Family Nurse Practitioner in Palm City, FL
• Providers in Palm City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.

Verify at the official NPI Registry.