Individual provider Active NPI

David P Johnson, ARNP

  • Family Nurse Practitioner
  • Key West, FL
National Provider Identifier
1487987103
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9179608 Issued in FL
Practice address
3138 Northside Dr
Key West, FL 33040-8028
Phone
(305) 295-3838
Fax
(305) 295-7772
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9179608 FL Primary

Addresses

Primary practice location

3138 Northside Dr
Key West, FL 33040-8028

Mailing address

3138 Northside Dr
Key West, FL 33040-8028
Phone (305) 295-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000358 FL Practitioner - Nurse Practitioner 0547302556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9179608FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Hma Physician Management, LLC CurrentSince Jan 11, 2021 Accepting new patients
Key West Hma Physician Management LLC CurrentSince Jan 11, 2021 Accepting new patients
Gulfstream Emergency Physicians Past Accepting new patients

Locations

1111 12th St
Ste 210
Key West, FL 33040
Phone (305) 295-3535

3224 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 292-5877

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1487987103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408028",
            "telephone_number": "305-295-3838",
            "fax_number": "205-295-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408028",
            "telephone_number": "305-295-3838",
            "fax_number": "305-295-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9179608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.