Marsha Ann White-Johnson, ARNP/FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1717092 Issued in FL

Practice address

103 W Park Place Ave
Inlet Beach, FL 32461-7227

Phone

(850) 866-1402

NPI assigned

Nov 11, 2005

Last updated

Nov 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1114908555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W PARK PLACE AVE",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324617227",
            "telephone_number": "850-866-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PARK PLACE AVE",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324617227",
            "telephone_number": "850-866-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-JOHNSON",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-028925",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1717092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Stipp, M.D.
• Breanna E Streeter, BCBA
• Elizabeth B Tucker, MD
• Kenneth B Tucker, MD
• Haidyn Grace Whitaker, RBT

• Family Nurse Practitioner in Inlet Beach, FL
• Providers in Inlet Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.