Active NPI
Caspertine Johnson
- Family Nurse Practitioner
- Live Oak, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN302027
- Practice address
- 1101 Ohio Ave S
Live Oak, FL 32064-4146 - Phone
- (386) 339-1060
- NPI assigned
- Nov 16, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11016170 | FL | |
| Family Nurse Practitioner | 363LF0000X | RN302027 | GA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11016170 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN302027 | GA |
Addresses
Primary practice location
1101 Ohio Ave S
Live Oak, FL 32064-4146
Mailing address
PO Box 5922
Valdosta, GA 31603-5922
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016170 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Chirotherapy PLLC | Family | Current | Accepting new patients |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Marion Internal Medicine Associates | Current | Accepting new patients | |
| Focus Healthcare PA | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
126 SW Sumatra Ave
Unit C
Madison, FL 32340
Phone (850) 253-2326
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1805 SE Lake Weir Ave
Ste B
Ocala, FL 34471
Phone (352) 629-9634
1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033
1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954
14336 US Highway 19 S
Thomasville, GA 31757
Phone (229) 233-6705
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1396370318
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1023491057
-
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
- Urgent Care Clinic/Center
- Centre, AL
- NPI 1932586476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1306502083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5922",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316035922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OHIO AVE S",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320644146",
"telephone_number": "386-339-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CASPERTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016170",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN302027",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11016170",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN302027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.