KELLI RENEE JOHNSON (NPI# 1881643039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881643039 |
| Entity Type | Individual |
| Full Name | KELLI RENEE JOHNSON |
| Credential | CPM, LM, EMT |
| Practice Address |
802 Fisher Rd Winter Springs FL 32708-3642 |
| Practice Telephone | 4076994207 |
| Practice Fax Number | 4076997897 |
| Mailing Telephone | 4076994207 |
| Mailing Fax Number | 4076997897 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | MW162 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA PROVIDER NUMBER | 744426 | 01 |
| FL | BCBS PROVIDER NO | Y041K | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985267 | Kelli Cherie Johnson | Dental Hygienist | 950 Maine Ave Sw Apt 1215, Washington, DC 20024-3461 | 2020-05-29 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1871038729 | Kelli Sha'ron Johnson | Licensed Practical Nurse | 3014 Boring Ridge Dr, Decatur, GA 30034-4427 | 2017-01-02 |
| 1306269766 | Kelli Jo Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1851643423 | Kelli Almaria Johnson | Occupational Therapist | 1000 West 75th Street, Shawnee Mission, KS 66204 | 2012-10-08 |
| 1538143672 | Kelli Michelle Johnson | Pharmacy Technician | 2700 Ne University Vlg, Seattle, WA 98105-5008 | 2005-12-02 |
| 1114492840 | Kelli Ann Johnson | Counselor | 107 S Division St, Spokane, WA 99202-1510 | 2018-10-09 |
| 1598266348 | Kelli Vargas Johnson | Specialist/Technologist | 900 Round Valley Dr Ste 100, Park City, UT 84060-7552 | 2018-02-27 |
| 1013429307 | Kelli Johnson | Occupational Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2017-10-26 |
| 1558889394 | Kelli Ann Johnson | Counselor | 1221 W 5th St, Sheridan, WY 82801 | 2017-08-31 |
| Street Address |
802 FISHER RD |
| City | WINTER SPRINGS |
| State | FL |
| Zip Code | 32708-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928853 | Veronica-jo Prisco | Social Worker | 580 Old Sanford Road, Winter Springs, FL 32708 | 2019-05-22 |
| 1083101398 | Kd Medical Choice Inc | Clinical Medical Laboratory | 253 Winding Hollow Blvd, Winter Springs, FL 32708 | 2018-04-23 |
| 1861921223 | Karen Bova | Nurse Practitioner | 427 S. Buckskin Way, Winter Springs, FL 32708 | 2017-06-08 |
| 1922530997 | Mayur Vibhakar | Pharmacist | 5840 Red Bug Lake Rd # 1532, Winter Springs, FL 32708 | 2017-03-29 |
| 1053855379 | Liadys Diaz | Social Worker | 4 Sycamore Ct Apt 102, Winter Springs, FL 32708 | 2016-12-05 |
| 1225499817 | Tucawilla Villa, LLC | Custodial Care Facility | 995 Tuscawilla Road, Winter Springs, FL 32708 | 2016-03-10 |
| 1508222100 | Elizabeth Wright | Occupational Therapist | 985 Troon Trce, Winter Springs, FL 32708 | 2016-01-12 |
| 1790168771 | K Rose Ivey | Counselor | 252 Saxony Ct, Winter Springs, FL 32708 | 2015-07-08 |
| 1568863165 | Charles Afton Wise | Counselor | 1491 East Sr 434, Suite 104, Winter Springs, FL 32708 | 2014-09-15 |
| 1174958342 | Jorge Deju | Preventive Medicine | 617 Nighthawk Circle, Winter Springs, FL 32708 | 2013-09-06 |
| Find all providers in zip 32708 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457787319 | Michelle Isla | Midwife | 1343 Alfonzo Cir, Winter Springs, FL 32708-4828 | 2013-09-23 |
| 1710244215 | Marguerite Catherine Mccarthy | Midwife | 1082 Black Acre Trl, Winter Springs, FL 32708-4420 | 2012-04-20 |
| 1770919573 | Sacred Birth Midwifery Service, Inc | Midwife | 1343 Alfonzo Cir, Winter Springs, FL 32708-4828 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050173 | Rene Elizabeth Pittman | Midwife | 98039 Swamp Fever Ln, Yulee, FL 32097-3602 | 2020-07-07 |
| 1568081743 | Erka Lampkin Piagetti | Midwife | 352 Sw South Quick Cir, Port Saint Lucie, FL 34953-7643 | 2020-04-08 |
| 1942834239 | Zulgeil Elaina Ruiz Gines | Midwife | 316 49th Ave N, St Petersburg, FL 33703-3928 | 2020-02-26 |
| 1841823606 | Christine Due Higgins | Midwife | Naval Hospital Jacksonville 2089 Child St, Jacksonville, FL 32214-0001 | 2020-02-19 |
| 1003446634 | Christina Jemine | Midwife | 141 Sw Saratoga Ave, Port St Lucie, FL 34953-5974 | 2020-01-23 |
| 1467092353 | Emily Rizzo | Midwife | 104 S Bloxam Ave, Minneola, FL 34715-8709 | 2020-01-08 |
| 1578100236 | Robin Denise Coon | Midwife | 25045 Adams St, Astatula, FL 34705-9638 | 2019-12-02 |
| 1225672124 | Mariana De Barros Santos Betioli | Midwife | 1760 Sw 12th St, Boca Raton, FL 33486-6410 | 2019-11-04 |
| 1508429028 | Stacey Elizabeth Walden | Midwife | 4025 Nw 9th Ct, Gainesville, FL 32605-4713 | 2019-04-19 |
| 1295398162 | Modern Orlando Midwifery LLC | Midwife | 512 Fernwood Dr, Altamonte Springs, FL 32701-6330 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
| City | WINTER SPRINGS |
| Zip Code | 32708 |
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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.