Johnna Smith, ARNP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2612242 Issued in FL

Practice address

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Phone

(941) 917-1668

Fax

(941) 917-4232

NPI assigned

Jun 7, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prestige Imaging LLC

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1578503165
  NPD (past)
• SMH Radiology Associates PA

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1356323331
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1508806571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4930",
            "address_2": "DEPT. 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104930",
            "telephone_number": "941-917-1668",
            "fax_number": "941-917-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-1668",
            "fax_number": "941-917-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHNNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "2612242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305410100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith
• Jennifer Mariah Smith, OTR/L
• Jeremiah A Smith, PHARM.D.
• Jessica Aleene Smith, MA,RBT
• Jody Marie Smith, MSW
• Kayla Markelle Smith
• Keith Shipley Smith II, DDS MSP
• Kelly Ann Smith, AUD
• Kristine M Smith, DMD
• Lagen Celeste Smith, PHARMD

• Diagnostic Radiology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.