Claudette Johnson

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

311ZA0620X Issued in FL

Legal business name

CLAUDETTE JOHNSON

Practice address

4617 Hidden Shaddow DT
Tampa, FL 33614

Phone

(813) 513-4616

NPI assigned

Jul 24, 2015

Organization subpart

No

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

Authorized official

Name

Claudette Johnson

Title

Provider

Phone

(813) 513-4616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1891170460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 HIDDEN SHADOW DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141476",
            "telephone_number": "813-513-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 HIDDEN SHADDOW DT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-513-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDETTE JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "813-513-4616"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "311ZA0620X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana M Claudio
• Jessica Claudio

• Adult Care Home Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.