Individual provider Active NPI

Jean Santer Johnson, APRN

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1992934889
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN2551282 Issued in FL
Practice address
615 E Princeton St Ste 300
Orlando, FL 32803-1468
Phone
(407) 898-6005
Fax
(407) 898-7722
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN2551282 FL Primary

Addresses

Primary practice location

615 E Princeton St Ste 300
Orlando, FL 32803-1468

Mailing address

615 E Princeton St Ste 300
Orlando, FL 32803-1468
Phone (407) 898-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20091007000663 FL Practitioner - Nurse Practitioner 8426194267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 7, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 7, 2021 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

615 E Princeton St
Ste 300
Orlando, FL 32803
Phone (407) 228-4774

615 E Princeton St
Ste 401
Orlando, FL 32803
Phone (407) 303-9311

Interoperability endpoints

  • Direct secure messaging: jjohnson70658@adventhealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1992934889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031468",
            "telephone_number": "407-898-6005",
            "fax_number": "407-898-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031468",
            "telephone_number": "407-898-6005",
            "fax_number": "407-898-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEAN",
        "middle_name": "SANTER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN2551282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.