JEANETTE DELORIS JOHNSON
NPI 1235396144
Contractor in Palm Coast, FL

Active since May 19, 2008
29 ROYAL LEAF LN, PALM COAST, FL 32164(386) 313-1609 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2019, Sep 19, 2016 (2 updates tracked since 2016).

About Jeanette Deloris Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTE DELORIS JOHNSON (NPI 1235396144) is an individual contractor provider in Palm Coast, Florida and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1235396144
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameJEANETTE DELORIS JOHNSON
Location Address29 ROYAL LEAF LNPalm Coast, FL 32164-6998
Mailing Address29 Royal Leaf LnPalm Coast, FL 32164-6998 · (386) 852-7628
Sole ProprietorYes
Enumeration DateMay 19, 2008
Last NPPES UpdateFebruary 27, 20192 updates tracked since enumeration
NPI 1235396144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
29 ROYAL LEAF LN, Palm Coast, FL 32164

Other Identifiers 1

Medicaid230362100FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanette Johnson's NPI number?

The NPI number for Jeanette Johnson is 1235396144. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Jeanette Johnson located?

Jeanette Johnson practices at 29 Royal Leaf Ln, Palm Coast, FL 32164. The listed phone number is (386) 313-1609.

What is Jeanette Johnson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Jeanette Johnson was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.