Kelley E Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024171014 Issued in VA

Practice address

5855 Bremo Rd
Suite 102
Richmond, VA 23226-1930

Phone

(804) 673-2814

Fax

(804) 673-2873

NPI assigned

Sep 10, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjohnson98553@direct.virginiahospitalcenter.net

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.

• Virginia Hospital Center Physician Group, LLC

  dba VHC Health Medical Group Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Arlington, VA
  • NPI 1144415480

  DC

  Medicare reassignment Care Compare group NPD
• Virginia Hospital Center Physician Group LLC

  dba VHC Health Medical Group Neurology

  • Neurology Physician
  • Arlington, VA
  • NPI 1245010479
  NPD
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours Infectious Disease Specialists

  • Infectious Disease Physician
  • Richmond, VA
  • NPI 1063772143
  NPD (past)

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

• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1912332891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261930",
            "telephone_number": "804-673-2814",
            "fax_number": "804-673-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261930",
            "telephone_number": "804-673-2814",
            "fax_number": "804-673-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLEY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenee Jakira Johnson, MSW, LCSW, BCD
• Jessica Richason Johnson, MHA, DPM
• Judith Lynn Johnson, PHD
• Justin Wesley Johnson, DMD
• Kayla Marie Johnson, PHARMD
• Kivan S Johnson
• Kristen Johnson
• Latonya Monique Johnson
• Leah Marie Short Johnson, PT, DPT, OCS
• Leigh Pemberton Johnson

• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.