MRS. KATRENA FAYE JOHNSON (NPI# 1396755773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396755773 |
| Entity Type | Individual |
| Full Name | MRS. KATRENA FAYE JOHNSON |
| Credential | SUPPORTED LIVING COA |
| Practice Address |
4500 Crusaders Way Greenwood FL 32443-6907 |
| Practice Telephone | 8502090195 |
| Practice Fax Number | 8505928195 |
| Mailing Telephone | 8502090195 |
| Mailing Fax Number | 8505928195 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | FL | Other Service Providers |
| Street Address |
4500 CRUSADERS WAY |
| City | GREENWOOD |
| State | FL |
| Zip Code | 32443-6907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679991129 | Annette Jennings Caldwell | Nurse Practitioner | 3971 Sylvania Plantation Road, Greenwood, FL 32443-0017 | 2014-04-02 |
| 1215393947 | Comfort Seekers | In Home Supportive Care | 3897 Tracy Rd, Greenwood, FL 32443-1738 | 2016-01-11 |
| 1326505017 | Jeanne Gynelle Wooden | Registered Nurse | 5665 Fort Rd, Greenwood, FL 32443-1969 | 2019-02-28 |
| 1275015984 | Monyce Evans | Nurse Practitioner | 6474 Old School Ln, Greenwood, FL 32443-2018 | 2018-08-30 |
| 1821632795 | Morgan Nicole Seay | Occupational Therapy Assistant | 6414 Hartsfield Rd, Greenwood, FL 32443-2036 | 2019-11-04 |
| 1972847960 | Gloria S Bess | Home Health | 5704 Blue Springs Rd, Greenwood, FL 32443-2066 | 2012-11-15 |
| 1306167127 | Butler's Community Services, Inc. | Home Health | 3771 Highway 69, Greenwood, FL 32443-2149 | 2010-06-15 |
| 1285254730 | Tommy G Harkrider Jr. | Registered Nurse | 3637 Sweet Pond Rd, Greenwood, FL 32443-2168 | 2020-04-24 |
| 1821570789 | Tierra Mcneal | Technician | 3991 Sylvania Plantation Rd, Greenwood, FL 32443-2261 | 2018-09-06 |
| 1598012403 | Ilisha T Crawford-brown | Counselor | 5862 Catalina Ln, Greenwood, FL 32443-2290 | 2012-08-09 |
| Find all providers in zip 32443 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942537121 | Caron Lynn Cunningham Hulsey | Contractor | 1618 Excelsior Rd, Greenwood, AR 72936-5106 | 2009-11-10 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1518016088 | A Plus Therapies, Inc. | Contractor | 1004 Crooked Creek Rd, Greenwood, AR 72936-3026 | 2007-01-10 |
| 1215056429 | Paula Jean Mccann | Contractor | 1004 Crooked Creek Rd, Greenwood, AR 72936-3026 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| 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.