Hazel H Johnson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1653192 Issued in FL

Practice address

1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511

Phone

(813) 307-8015

Fax

(813) 276-2999

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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1801836929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8015",
            "fax_number": "813-276-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8015",
            "fax_number": "813-276-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HAZEL",
        "middle_name": "H",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1653192",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1653192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034718300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Johnson, DPT
• Erica Theodora Johnson
• Felicia Johnson
• Francis L Johnson III
• Freda Johnson
• Heather A Johnson, PAC
• Ishmecka Johnson
• Jacqueline Johnson, RRT
• Jake Johnson, PHARMD
• James Johnson

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.