Kevin B Johnson, CRANIAL PROSTHESIS

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

BB8897104 Issued in FL

Practice address

2569 Countryside Blvd
Building 20 Suite 127
Clearwater, FL 33761

Phone

(727) 408-9049

NPI assigned

Jul 8, 2026

Sex

Male

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

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1487572434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613581",
            "telephone_number": "727-460-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 COUNTRYSIDE BLVD",
            "address_2": "BUILDING 20 SUITE 127",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-408-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "CRANIAL PROSTHESIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "BB8897104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Brooke Johnson, PA-C
• Jessicah Johnson, MA
• Joe Johnson
• Joshua S Johnson, CRNA
• Kaitlyn B Johnson
• Kimberly L Johnson
• Leigh Anne Johnson, PA
• Michelle Johnson, APRN-BC
• Michelle L Johnson, D.O.
• Natesia Johnson

• Prosthetist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.