Individual provider Active NPI

Tanya Marie Johnson, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1629415500
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9213321 Issued in FL
Practice address
400 SW 1St Ave Unit 1179
Ocala, FL 34478-7748
Phone
(352) 421-5694
Fax
(352) 421-5226
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9213321 FL Primary
Urgent Care Clinic/Center 261QU0200X APRN9213321 FL

Addresses

Primary practice location

400 SW 1St Ave Unit 1179
Ocala, FL 34478-7748

Mailing address

400 SW 1St Ave Unit 1179
Ocala, FL 34478-7748
Phone (352) 421-5694

Other practice location 1

208 Suwannee Ave NW
Branford, FL 32008-3265
Phone (352) 421-5694

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
I20130730000390 FL Practitioner - Nurse Practitioner 4981845203 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular PLCGroup PAC ID 8729184379, 13 clinicians
Ankem Ravindra MD PAGroup PAC ID 1951446640, 8 clinicians
Marion Heart Associates, PAGroup PAC ID 8426951377, 10 clinicians
Marion Internal Medicine AssociatesGroup PAC ID 0042527996, 5 clinicians

Practice addresses (Care Compare)

101 Park Place Blvd
Suite C
Davenport, FL 33837-6865
Phone (352) 362-4223

1136 Bryn Mawr Ave
Lake Wales, FL 33853-4304
Phone (352) 362-4223

1211 SW Bascom Norris Dr
Lake City, FL 32025-4916
Phone (386) 752-3400

1805 SE Lake Weir Ave
Ocala, FL 34471-5426
Phone (352) 867-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9213321FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular PLC CurrentSince Sep 1, 2025 Accepting new patients
Kopa LLC CurrentSince May 1, 2025 Accepting new patients
Marion Heart Associates, PA CurrentSince Apr 1, 2025 Accepting new patients
Shreeven LLC CurrentSince May 1, 2025 Accepting new patients
Marion Internal Medicine Associates CurrentSince Jun 23, 2025 Accepting new patients
Ankem Ravindra MD PA CurrentSince Dec 1, 2025 Accepting new patients
Infectious Diseases Associates of North Central Florida LLC CurrentSince Jul 1, 2013 Accepting new patients
DRS. Raja & Raja, PA Past Accepting new patients
Space Coast Cardiology Consultants Past Accepting new patients
Ocala Medical and Infectious Disease Associates PA PastSince Jul 1, 2013 Accepting new patients

Locations

405 Lionel Way
Davenport, FL 33837
Phone (407) 412-0111

101 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (352) 362-4223

141 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 427-4544

221 SW Stonegate Ter
Ste 105
Lake City, FL 32024
Phone (386) 269-4175

1211 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 326-3633

1136 Bryn Mawr Ave
Lake Wales, FL 33853
Phone (352) 362-4223

3306 SW 26th Ave
Ocala, FL 34471

3306 SW 26th Ave
Ste 104
Ocala, FL 34471
Phone (352) 622-2020

1805 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 307-1616

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

1805 SE Lake Weir Ave
Ste B
Ocala, FL 34471
Phone (352) 629-9634

1609 SW 17th St
Ste 100
Ocala, FL 34471
Phone (352) 401-9888

5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

1370 E Venice Ave
Ste 102
Venice, FL 34285

320 1st St N
Winter Haven, FL 33881
Phone (646) 295-5136

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HICFDD/Endpoint/HICFDD
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1629415500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 1ST AVE UNIT 1179",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344787748",
            "telephone_number": "352-421-5694",
            "fax_number": "352-421-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 1ST AVE UNIT 1179",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344787748",
            "telephone_number": "352-421-5694",
            "fax_number": "352-421-5226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Suwannee Ave NW",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "FL",
            "postal_code": "320083265",
            "country_code": "US",
            "telephone_number": "352-421-5694",
            "fax_number": "352-421-5226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9213321",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "APRN9213321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.