Individual provider Active NPI

Johanna Jovanovic, APRN

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1891400693
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023043 Issued in FL
Practice address
2801 Fruitville Rd Ste 140
Sarasota, FL 34237-5301
Phone
(727) 203-4613
Fax
(727) 203-4613
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023043 FL Primary

Addresses

Primary practice location

2801 Fruitville Rd Ste 140
Sarasota, FL 34237-5301

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1056

Other identifiers 2

IdentifierTypeStateIssuer
QJ531OtherFLHFMG MA
117552200MedicaidFL

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
I20230310001358 FL Practitioner - Nurse Practitioner 1951774009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reliable MD, LLCGroup PAC ID 3072936533, 4 clinicians

Practice addresses (Care Compare)

2801 Fruitville Rd
Suite 140
Sarasota, FL 34237-5301
Phone (727) 203-4613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11023043FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable MD LLC CurrentSince Apr 1, 2024 Accepting new patients
Deborah Goldsmith DC PA PastSince Apr 1, 2024 Accepting new patients

Locations

2801 Fruitville Rd
Ste 140
Sarasota, FL 34237
Phone (727) 203-4613

5045 Fruitville Rd
Unit 123B
Sarasota, FL 34232
Phone (727) 203-4613

35 United Dr
Ste 102
West Bridgewater, MA 02379

Organizations & group practices 2

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1891400693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRUITVILLE RD STE 140",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375301",
            "telephone_number": "727-203-4613",
            "fax_number": "727-203-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVIC",
        "first_name": "JOHANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG MA",
            "identifier": "QJ531",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117552200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.