| Kathleen C Johnson, APRN, CNM | |
|
330 E Hibiscus Blvd, Melbourne, FL 32901-3155 | |
| (321) 724-2229 | |
| (321) 728-6668 |
| Full Name | Kathleen C Johnson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 330 E Hibiscus Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811010796 | NPI | - | NPPES |
| 012338500 | Medicaid | FL | |
| U2366 | Other | FL | MEDICARE HF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN1949352 (Florida) | Primary |
| Entity Name | Florida Woman Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386823243 PECOS PAC ID: 5395807218 Enrollment ID: O20081230000509 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Brevard Health Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013355726 PECOS PAC ID: 0446201768 Enrollment ID: O20151124000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen C Johnson, APRN, CNM 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 Ph: (321) 724-2229 | Kathleen C Johnson, APRN, CNM 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 Ph: (321) 724-2229 |
Lynne Miner-hasler, ARNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 330 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-2229 Fax: 321-728-6681 | |
Anette Marie Sandoval, ARNP, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 330 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-2229 Fax: 321-728-6668 | |
Anne A Desir, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 330 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-2229 | |
Whitney Miranda, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 330 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-2229 | |
Roxanna Elizabeth Cueto-alvarez, ARNP,CNM,MPH Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 330 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-2229 Fax: 321-728-6668 | |
Karen Jo Saver, ARNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 330 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-2229 Fax: 321-728-6668 | |
Elena Cruz-hunter, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2275 S Babcock Street, Melbourne, FL 32901 Phone: 321-726-2920 Fax: 321-726-2916 |