Active NPI
Leslie Ann Johnston, D.P.M.
- Podiatrist
- Tampa, FL
National Provider Identifier
1912135963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 3548
- Practice address
- 2919 W Swann Ave
Suite 203
Tampa, FL 33609-4038 - Phone
- (813) 875-0555
- Fax
- (866) 313-3106
- NPI assigned
- Jun 29, 2009
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 3548 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3548 | FL |
Addresses
Primary practice location
2919 W Swann Ave
Suite 203
Tampa, FL 33609-4038
Mailing address
2919 W Swann Ave
Suite 203
Tampa, FL 33609-4038
Phone (813) 875-0555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K5276 | Other | FL | MCARE GROUP PTAN |
| PO3548 | Other | FL | MEDICAL LICENSE |
| DA5546 | Other | FL | RR MCARE GROUP |
| 6501W | Other | FL | BCBS |
| P01125212 | Other | FL | RR MCARE IND |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3548 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc a. Katz, DPM, PA | Podiatrist | Past | Accepting new patients |
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": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1912135963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE",
"address_2": "SUITE 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094038",
"telephone_number": "813-875-0555",
"fax_number": "866-313-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE",
"address_2": "SUITE 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094038",
"telephone_number": "813-875-0555",
"fax_number": "866-313-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 3548",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3548",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP PTAN",
"identifier": "K5276",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PO3548",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE GROUP",
"identifier": "DA5546",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6501W",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE IND",
"identifier": "P01125212",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.