Ronda Lee Johnson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A058311 Issued in IA

Practice address

23580 220TH St
Davenport, IA 52807-9428

Phone

(817) 975-1949

Fax

(817) 887-2899

NPI assigned

Mar 1, 2017

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 IA

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

Interoperability endpoints

• Direct secure messaging: ronda.johnson.1@31145.direct.athenahealth.com
• Direct secure messaging: ronda.johnson.1@11922.direct.athenahealth.com

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.

• Wellness in You, LLC

  • Health Service Clinic/Center
  • Davenport, IA
  • NPI 1275090557
  Medicare reassignment NPD Authorized official
• American Advanced Practice Network, P.C.

  • Nurse Practitioner
  • Watertown, SD
  • NPI 1790244341
  NPD

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1922548692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23580 220TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528079428",
            "telephone_number": "817-975-1949",
            "fax_number": "817-887-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23580 220TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528079428",
            "telephone_number": "817-975-1949",
            "fax_number": "817-887-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A058311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Johnson, ARNP
• Matthew A Johnson, T-LMHC
• Monica Yvonne Johnson, LMSW
• Mya Johnson
• Randall Richard Johnson, OD
• Shannon Lee Johnson, PA-C
• Teresa Johnson, LMT
• Toshia Johnson, MSED, LMHC
• Trudi H Johnson, APRN, CNP
• Tyler Johnson, D.C.

• Family Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.