Active NPI
Megan Elizabeth Johnson, AU. D.
- Audiologist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 2038
- Practice address
- 4202 E Fowler Ave
PCD-1017
Tampa, FL 33620-6750 - Phone
- (813) 974-8804
- NPI assigned
- Jun 17, 2016
- Last updated
- Feb 21, 2017
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 2038 | FL | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AY2038 | FL |
Addresses
Primary practice location
4202 E Fowler Ave
PCD-1017
Tampa, FL 33620-6750
Mailing address
PO Box 917770
Orlando, FL 32891-7770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018457600 | Medicaid | FL | |
| 4RJ83 | Other | FL | BLUE CROSS BLUE SHIELD |
| 018457601 | Medicaid | FL |
Other names 1
- Megan Elizabeth Haney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY 2038 | FL | MD | Audiologist |
| AY2038 | FL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 974-1469
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
4202 E Fowler Ave
Stop PCD1017
Tampa, FL 33620
Phone (813) 974-8804
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- mjohnson104131@direct.tgh.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1871943126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328917770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 E FOWLER AVE",
"address_2": "PCD-1017",
"city": "TAMPA",
"state": "FL",
"postal_code": "336206750",
"telephone_number": "813-974-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "AU. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 2038",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AY2038",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018457600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4RJ83",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018457601",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "HANEY",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.