Sherryl Lynn Johnson-Hanna, M.ED RDN LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2095 Issued in FL

Practice address

4904 Rambling Rose Place
Tampa, FL 33624

Phone

(813) 545-0004

Fax

(813) 443-1491

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1467097642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273538",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336883538",
            "telephone_number": "813-545-0004",
            "fax_number": "813-443-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 RAMBLING ROSE PLACE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33624",
            "telephone_number": "813-545-0004",
            "fax_number": "813-443-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-HANNA",
        "first_name": "SHERRYL",
        "middle_name": "LYNN",
        "credential": "M.ED RDN LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sldietetics@aol.com",
            "affiliation": "N",
            "address_1": "4522 W Village Dr # 304",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336243429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latricia Johns
• Samantha Johns
• Howard Ulysses Johnson II, MD
• Emily Johnson Patel, MD
• Janelle Johnson-Fletcher
• Versie Johnson-Mallard, NP
• Michele A Johnson-Towson, MD
• Andy Johnson
• Angela D Johnson, APRN
• Angela Jo Johnson, MD

• Registered Dietitian in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.