Active NPI
David P Johnson, ARNP
- Family Nurse Practitioner
- Key West, FL
National Provider Identifier
1487987103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9179608
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9179608 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key West Hma Physician Management, LLC | Current | Accepting new patients | |
| Key West Hma Physician Management LLC | Current | 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.
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- Internal Medicine Physician
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- NPI 1871548651
-
- Orthopaedic Surgery Physician
- Key West, FL
- NPI 1346548229
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1447428438
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.