MS. BRENDA LEE JOHNSON (NPI# 1942633276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942633276 |
| Entity Type | Individual |
| Full Name | MS. BRENDA LEE JOHNSON |
| Credential | 09/28/1965 |
| Practice Address |
308 Sw. Shelby Avenue Madison FL 32340-2334 |
| Practice Telephone | 8509730591 |
| Mailing Telephone | 8509730591 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 008047400 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041681 | Brenda L Johnson | Dietitian, Registered | 12383 S 78th St, Papillion, NE 68046-4765 | 2019-12-28 |
| 1700423829 | Brenda Johnson | Massage Therapist | 2375 Professional Heights Dr Ste 260, Lexington, KY 40503-3040 | 2019-12-09 |
| 1255990206 | Brenda L. Johnson | Licensed Practical Nurse | 6412 Baragon Hill Rd, Friendship, NY 14739-8668 | 2019-06-12 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| 1053866830 | Brenda Demetrius Johnson | Nurse's Aide | 1114 S Springinsguth Rd Apt 2b, Schaumburg, IL 60193-3463 | 2016-08-22 |
| 1437502853 | Brenda Johnson | Social Worker | 3720 Chuck Wagon Rd, Cheyenne, WY 82009-9418 | 2016-07-20 |
| 1740683499 | Brenda Sue Johnson | Physician Assistant | 8233 Fredericksburg Road, San Antonio, TX 78229 | 2014-10-08 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1568803880 | Brenda Johnson | Massage Therapist | 1788 Broad St, Cranston, RI 02905-3520 | 2013-07-15 |
| 1154604478 | Brenda C Johnson | Counselor | 4013 Heath Cir N, West Palm Beach, FL 33407-3109 | 2011-09-22 |
| Street Address |
308 SW. SHELBY AVENUE |
| City | MADISON |
| State | FL |
| Zip Code | 32340-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930673 | Family Works Programs, Inc. | Foster Care Agency | 5604 Medical Cir, Madison, WI 53719-1204 | 2019-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609734 | Ensor Health Services | Foster Care Agency | 12140 Murray Ave, Largo, FL 33778-2421 | 2020-11-06 |
| 1821600941 | Manny Anthony & Co. LLC | Foster Care Agency | 4514 Wishart Blvd, Tampa, FL 33603-2827 | 2020-08-19 |
| 1245849819 | Seven Bridges Support Services LLC | Foster Care Agency | 1652 Fairway Ridge Dr, Fleming Island, FL 32003-8253 | 2020-07-29 |
| 1750901997 | Kenithia Z Brewington | Foster Care Agency | 121 Millet Cir, Cantonment, FL 32533-7888 | 2020-04-17 |
| 1568097038 | A Kid's Place of Tampa Bay Inc. | Foster Care Agency | 1715 Lithia Pinecrest Rd, Brandon, FL 33511-6723 | 2020-03-05 |
| 1215560305 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 591 Jacob Brock Ave, Enterprise, FL 32725-8129 | 2020-02-17 |
| 1609409101 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 202 W Reynolds St, Plant City, FL 33563-3200 | 2020-02-13 |
| 1851938096 | Karl Fleming | Foster Care Agency | 6020 Wallace Rd, Panama City, FL 32404-8724 | 2019-12-06 |
| 1962051441 | Christie Homes, Inc | Foster Care Agency | 2450 E Hillsborough Ave Apt 1324, Tampa, FL 33610-4443 | 2019-09-08 |
| 1598221533 | Kacy Thompson | Foster Care Agency | 9639 Bembridge Mill Dr, Jacksonville, FL 32244-2495 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
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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.