JILL JOHNSON (NPI# 1730739889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730739889 |
| Entity Type | Individual |
| Full Name | JILL JOHNSON |
| Practice Address |
718 Perryman Ln W Jacksonville FL 32221-1543 |
| Practice Telephone | 9042297476 |
| Mailing Telephone | 9042297476 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877465 | Jill M Johnson | Naturopath | 214 225th Pl Se, Bothell, WA 98021-8339 | 2020-10-05 |
| 1922612555 | Jill Covington Johnson | Durable Medical Equipment & Medical Supplies | 17098 W Willow Dr, Prairieville, LA 70769-4180 | 2020-09-01 |
| 1063026730 | Jill Johnson | Behavioral Analyst | 3609 W Rose Hill St, Boise, ID 83705-1515 | 2020-09-01 |
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1821566803 | Jill A Johnson | Massage Therapist | 263 W Patrick St Ste 2, Frederick, MD 21701-6910 | 2018-11-07 |
| 1649745878 | Jill Marguerite Johnson | Behavior Technician | 50c Las Golondrinas Rd, Santa Fe, NM 87507-4451 | 2018-10-03 |
| 1518441997 | Jill Johnson | Counselor | 29267 N 123rd Dr, Peoria, AZ 85383-4074 | 2018-09-20 |
| 1306232814 | Jill A Johnson | Dental Hygienist | 1600 Lost Creek Rd, Anaconda, MT 59711-9621 | 2015-04-10 |
| 1093055733 | Jill Marie Johnson | Licensed Practical Nurse | 2224 Hazelhurst Ct, Kettering, OH 45440-1137 | 2013-02-17 |
| Street Address |
718 PERRYMAN LN W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971471 | Laura Cowan | Technician | 1613 Spring Branch Dr E, Jacksonville, FL 32221-7618 | 2019-09-18 |
| 1457901993 | Edith Corbett | Technician | 3688 Timucua Trl, Jacksonville, FL 32277-2250 | 2019-09-17 |
| 1689224180 | Patricia J Baker | Technician | 1905 Chaffee Rd S, Jacksonville, FL 32221-1861 | 2019-09-17 |
| 1588214092 | Gloria Jean Brewer | Technician | 1242 Spring Creek Ct, Jacksonville, FL 32218-8050 | 2019-09-17 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1336798941 | Nicole Blevins | Technician | 2539 Stern Dr S, Jacksonville, FL 32233-2916 | 2019-09-06 |
| 1033767231 | Carol Lynn Holder | Technician | 1070 County Road 4101, Jacksonville, TX 75766-0512 | 2019-08-30 |
| 1336796630 | Joyce Valadie Miller | Technician | 131 County Road 1432, Jacksonville, TX 75766-9001 | 2019-08-21 |
| 1073062501 | Veronica Coleman | Technician | 5714 Fort Caroline Rd, Jacksonville, FL 32277-1753 | 2016-09-26 |
| 1760831556 | Teresa Ndiaye | Technician | 4523 Jade Dr E, Jacksonville, FL 32210-4714 | 2016-06-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32221 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.