Shelbi Lynn Johnson

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

28017 Issued in FL

Practice address

2700 S Blair Stone Rd Ste D
Tallahassee, FL 32301-5927

Phone

(850) 877-4313

NPI assigned

Jan 25, 2021

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

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1366032278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N MANNING ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317682100",
            "telephone_number": "229-375-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S BLAIR STONE RD STE D",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015927",
            "telephone_number": "850-877-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHELBI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "28017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Johnson
• Richard Larrimore Johnson III, M.S., CCC-A
• Ryan Johnson, MT-BC
• Shakisha Johnson
• Shamekia Johnson
• Shelethia Deannine Johnson, CNA
• Shelia Renee Johnson
• Stephen Johnson, AA
• Suzanne Bennett Johnson
• Taylor Ann Johnson, MD

• Dental Hygienist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.