Individual provider Active NPI

Ann L Johnson, ARNP

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1891710034
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2071382 Issued in FL
Practice address
7305 North Military Trail
Primary Care (110)
West Palm Beach, FL 33410
Phone
(561) 422-7577
Fax
(561) 422-7615
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2071382 FL Primary

Addresses

Primary practice location

7305 North Military Trail
Primary Care (110)
West Palm Beach, FL 33410

Mailing address

1947 19TH CT
Jupiter, FL 33477-9001
Phone (561) 422-6643

Other names 1

  • Ms. Ann L Johnson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820000321 FL Order and Referring Only - Nurse Practitioner 2062668445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP2071382FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1891710034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 19TH CT",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334779001",
            "telephone_number": "561-422-6643",
            "fax_number": "561-422-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 NORTH MILITARY TRAIL",
            "address_2": "PRIMARY CARE (110)",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-422-7577",
            "fax_number": "561-422-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2071382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.