Revon Yvette Johnson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2702 Paoli Pike Apt 337
New Albany, IN 47150-5162

Phone

(502) 631-8418

NPI assigned

Feb 7, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ezr Home Care Agency LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1790439743
  NPD
• Ezr Home Care Agency LLC

  • Home Health Agency
  • Louisville, KY
  • NPI 1851187256
  NPD

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1952993446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 PAOLI PIKE APT 337",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505162",
            "telephone_number": "502-631-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 PAOLI PIKE APT 337",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505162",
            "telephone_number": "502-631-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REVON",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JKL Investments, Inc. (Lincoln Hills of New Albany)
• JM Autism Foundation
• John Kenyon American Eye Institute LLC
• Brittany Johnson, LMHC
• Christine Johnson
• Shellbie Lauren Johnson
• Stephanie Denise Johnson, PTA
• Mary M Johnston, LSCW
• Kalynn Jolly, APRN, FNP-C
• Amy Jones, R.PH.

• Home Health Aide in New Albany, IN
• Providers in New Albany, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.