Satonia Renae Johnson, IMH

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

IMH 14002 Issued in FL

Practice address

7413 Sherren Dr.
Tampa, FL 33619-4737

Phone

(813) 417-9162

NPI assigned

Oct 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1225409972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 SHERREN DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194737",
            "telephone_number": "813-417-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 SHERREN DR.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194737",
            "telephone_number": "813-417-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SATONIA",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "IMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "IMH 14002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "IMH 14002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Nathaniel Johnson, M.D.
• Rachel Nicole Johnson, MSW
• Ramey Rene Johnson
• Reginald Antwan Johnson
• Robin Lynn Johnson, LMT
• Seth Joseph Johnson
• Shakerra Johnson, BS
• Shalonda S Johnson, PHARM.D.
• Shanqelle Johnson
• Suzanne Ruth Johnson, A.R.N.P.

• Substance Abuse Rehabilitation Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.