Jennifer Johnson

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-114827 Issued in AL

Practice address

215 Winton M Blount Loop
Suite 217
Montgomery, AL 36117-3507

Phone

(334) 414-1995

NPI assigned

Oct 25, 2016

Last updated

Oct 25, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438
  Medicare reassignment NPD
• Ivy Creek of Elmore, LLC

  dba Elmore Community Hospital

  • General Acute Care Hospital
  • Wetumpka, AL
  • NPI 1588795942
  NPD (past)
• Ivycreek of Elmore LLC

  dba River Region Family Medicine

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1396066650
  NPD (past)
• Magnolia Commons Pediatrics LLC

  dba Carlile Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Wetumpka, AL
  • NPI 1013280486
  NPD (past)
• Pediatrics After Hours Care LLC

  • Pediatrics Physician
  • Montgomery, AL
  • NPI 1922337443
  NPD (past)
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1962954917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WINTON M BLOUNT LOOP",
            "address_2": "SUITE 217",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-414-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WINTON M BLOUNT LOOP",
            "address_2": "SUITE 217",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-414-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-114827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Michael Johnson, PA-C
• Haley Browning Johnson, OTR/L
• Henry Goodwin Johnson, MD
• Ignacia Johnson, LMSW
• Jasmine Loretta Johnson, DO
• Kiafa Johnson
• Kline Johnson
• Latisha Marki Johnson, NP
• Matthew W Johnson, DMD
• Porsha Johnson, LPC

• Pediatric Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.