Individual provider Active NPI

Rebecca Lou Johnson, MD

  • Emergency Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1437231677
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME71741 Issued in FL
Practice address
Florida Gulf Coast University
10501 Fgcu Blvd. South
Fort Myers, FL 33965-0001
Phone
(239) 590-7966
NPI assigned
Oct 19, 2006
Last updated
Dec 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME71741 FL Primary

Addresses

Primary practice location

Florida Gulf Coast University
10501 Fgcu Blvd. South
Fort Myers, FL 33965-0001

Mailing address

Florida Gulf Coast University
10501 Fgcu Blvd. South
Fort Myers, FL 33965-0001
Phone (239) 590-7966

Other identifiers 2

IdentifierTypeStateIssuer
14162OtherFLBLUE CROSS OF FLORIDA
257876000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME71741FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epn Urgent Care LLC Emergency Medicine Past Accepting new patients
Emergency Physicians of Naples PLLC Emergency Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1437231677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLORIDA GULF COAST UNIVERSITY",
            "address_2": "10501 FGCU BLVD. SOUTH",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339650001",
            "telephone_number": "239-590-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA GULF COAST UNIVERSITY",
            "address_2": "10501 FGCU BLVD. SOUTH",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339650001",
            "telephone_number": "239-590-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "LOU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME71741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "14162",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257876000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.