IndividualActive
Katrena Johnson, SUPPORTED LIVING COA
NPI 1396755773 · Contractor · Greenwood, FL
Katrena Johnson, SUPPORTED LIVING COA is a Contractor provider in Greenwood, FL (NPI 1396755773).
Provider details
- NPI number
- 1396755773
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- SUPPORTED LIVING COA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4500 Crusaders Way
Greenwood, FL 32443-6907
Phone: (850) 209-0195
Fax: (850) 592-8195
Street-level locationGet directions
Mailing address
4500 Crusaders Way
Greenwood, FL 32443-6907
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Katrena Johnson's NPI number?
- Katrena Johnson's National Provider Identifier (NPI) is 1396755773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katrena Johnson's specialty?
- Katrena Johnson is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Katrena Johnson located?
- Katrena Johnson's practice location on file with NPPES is 4500 Crusaders Way, Greenwood, FL 32443-6907.
- What is Katrena Johnson's phone number?
- The practice phone number listed in the NPPES registry for Katrena Johnson is (850) 209-0195.
- Is Katrena Johnson's NPI active?
- Yes — Katrena Johnson's NPI (1396755773) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.