Kimberly Jobe Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5016497 Issued in NC

Practice address

2001 Weston Pkwy
Cary, NC 27513-5512

Phone

(919) 484-4884

NPI assigned

Jul 25, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Care Plastic Surgery, P.a.

  • Clinic/Center
  • Cary, NC
  • NPI 1770732331
  NPD
• True You Weight Loss, PLLC

  • Gastroenterology Physician
  • Cary, NC
  • NPI 1538898705
  NPD

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1982330759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 MIMS RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409554",
            "telephone_number": "919-395-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WESTON PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135512",
            "telephone_number": "919-484-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "JOBE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhane' Hadiya Johnson, LCAS
• Kasey Bethancourt Johnson, MS, CCC-SLP
• Kate Johnson, MS, CCC-SLP
• Kelly Cooke Johnson, AUD
• Kimala Thomas Johnson
• Kristina Johnson
• Lauren Johnson, OT
• Mecca Johnson
• Meshonda Johnson
• Michael Johnson, DPT

• Family Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.