Active NPI
Janet Carol Johnson, ARNP
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1104956051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1120272
- Practice address
- 4620 North Habana Avenue
Suite 101
Tampa, FL 33614 - Phone
- (813) 875-9362
- Fax
- (813) 876-7055
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1120272 | FL | Primary |
Addresses
Primary practice location
4620 North Habana Avenue
Suite 101
Tampa, FL 33614
Mailing address
916 Daphne Drive
Brandon, FL 33510
Phone (813) 875-9362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4620 N Habana Ave
Suite 101
Tampa, FL 33614-7107
Phone (813) 875-9362
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1120272 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Pulmonary and Sleep Specialist MDS LLP Gen PTR | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients |
Locations
4620 N Habana Ave
Ste 101
Tampa, FL 33614
Phone (813) 875-9362
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- jjohnson8446@direct.tgh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Tampa, FL
- NPI 1447264411
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104956051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 DAPHNE DRIVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "33510",
"telephone_number": "813-875-9362",
"fax_number": "813-876-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 NORTH HABANA AVENUE",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-875-9362",
"fax_number": "813-876-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JANET",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1120272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.