Active NPI 1235396144 Individual Practitioner Female Practitioner

Jeanette Deloris Johnson

Contractor • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Jeanette Johnson is a registered healthcare professional specializing in Contractor in Palm Coast, FL. Practice services are available at 29 ROYAL LEAF LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29 Royal Leaf Ln

Palm Coast, FL 321646998

Telephone 3863131609

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Palm Coast, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Palm Coast, FL (793 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

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).

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

230362100 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2016

Registered at 29 ROYAL LEAF LN, PALM COAST, FL 321646998 (Tel: 3863131609)

📍

Updated Business Mailing Address September 19, 2016

Registered at 29 ROYAL LEAF LN, PALM COAST, FL 321646998 (Tel: 3863131609)

👤

Provider Name / Credentials Updated September 19, 2016

Recorded as JEANETTE JOHNSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Contractor

🟢

Initial NPI Registration & Enumeration May 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235396144

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2008

Last Update: February 27, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

29 Royal Leaf Ln

Palm Coast, FL 321646998

Phone: 3868527628

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.