Earnest Johnson

Primary specialty

DriverTaxonomy code 172A00000X

License

J525218734150 Issued in FL

Practice address

11925 Brighton Knoll Loop
Riverview, FL 33579-2201

Phone

(813) 668-4420

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1316725658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 BRIGHTON KNOLL LOOP",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792201",
            "telephone_number": "813-668-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 BRIGHTON KNOLL LOOP",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792201",
            "telephone_number": "813-668-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EARNEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9406449",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "J525553845310",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "J525218734150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwafemi John
• A'Mari Johnson
• April Johnson, LMHC
• Celess Johnson, LMHC
• Dawn Johnson
• Jasmine Johnson
• Kennedy Marie Johnson, RBT
• Lonaye Johnson, RBT
• Sapphire Johnson
• Sara Michelle Johnson

• Driver in Riverview, FL
• Providers in Riverview, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.