Individual provider Active NPI

Holly Ann Johnson, LICENSED BY FLORIDA

  • Hearing Instrument Specialist
  • Inverness, FL
National Provider Identifier
1508152489
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5705 Issued in FL
Practice address
506 Tompkins St
Inverness, FL 34450-4141
Phone
(352) 423-1799
Fax
(352) 306-6841
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2643 OH
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X AS5705 FL Primary

Addresses

Primary practice location

506 Tompkins St
Inverness, FL 34450-4141

Mailing address

506 Tompkins St
Inverness, FL 34450-4141
Phone (352) 423-1799

Other identifiers 1

IdentifierTypeStateIssuer
0050404MedicaidOH

Other names 1

  • Holly Ann Murdock Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS5705FLMDHearing Instrument Specialist
2643OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson'S Hearing Centers LLC Single Specialty Current Accepting new patients

Locations

506 Tompkins St
Inverness, FL 34450
Phone (352) 423-1799

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1508152489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 TOMPKINS ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504141",
            "telephone_number": "352-423-1799",
            "fax_number": "352-306-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 TOMPKINS ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504141",
            "telephone_number": "352-423-1799",
            "fax_number": "352-306-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICENSED BY FLORIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "2643",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MURDOCK",
            "middle_name": "ANN",
            "credential": "HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.