Active NPI
Tashada Johnson
- Homemaker
- Lake Mary, FL
National Provider Identifier
1679159594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 28573
- Practice address
- 255 Primera Blvd Ste 160
Lake Mary, FL 32746-2168 - Phone
- (407) 585-0825
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 28573 | FL | |
| Homemaker | 376J00000X | 28573 | FL | Primary |
Addresses
Primary practice location
255 Primera Blvd Ste 160
Lake Mary, FL 32746-2168
Mailing address
255 Primera Blvd Ste 160
Lake Mary, FL 32746-2168
Phone (407) 585-0825
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28573 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loving Hands, L.L.C. | Adult Companion | Current | Accepting new patients |
Locations
255 Primera Blvd
Ste 160
Lake Mary, FL 32746
Phone (407) 585-0825
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": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1679159594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 PRIMERA BLVD STE 160",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462168",
"telephone_number": "407-585-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 PRIMERA BLVD STE 160",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462168",
"telephone_number": "407-585-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TASHADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "28573",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "28573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.