Active NPI
Brenda Lee Johnson
- Foster Care Agency
- Madison, FL
National Provider Identifier
1942633276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 008047400
- Practice address
- 308 SW. Shelby Avenue
Madison, FL 32340-2334 - Phone
- (850) 973-0591
- NPI assigned
- Aug 9, 2013
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 008047400 | FL | Primary |
Addresses
Primary practice location
308 SW. Shelby Avenue
Madison, FL 32340-2334
Mailing address
308 SW. Shelby Avenue
Madison, FL 32340-2334
Phone (850) 973-0591
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008047400 | FL | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1942633276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SW. SHELBY AVENUE",
"city": "MADISON",
"state": "FL",
"postal_code": "323402334",
"telephone_number": "850-973-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 SW. SHELBY AVENUE",
"city": "MADISON",
"state": "FL",
"postal_code": "323402334",
"telephone_number": "850-973-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "FL",
"license": "008047400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, FL
- Holiday CVS LLC (CVS Pharmacy #04062)
- Ella Aquilina Howard, RPT
- Rebecca Hughes, RN
- James a Stephens OD & Associates PA
- Jays Pharmacy of Madison LLC (Jay's Pharmacy of Madison)
- Tangela Michelle Johnson
- Diamond Jones, MSW
- Priscilla Michelle Jones
- Kristen Charmaine Kennedy
- Tamera Reshonda King, BSN, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.