Individual provider Active NPI

Johanna Michelle Desantis, FNP-C

  • Family Medicine Physician
  • Juno Beach, FL
National Provider Identifier
1952271108
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F11250057 Issued in FL
Practice address
13901 US Highway 1 Ste 5
Juno Beach, FL 33408-1612
Phone
(561) 491-4666
NPI assigned
Nov 11, 2025
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F11250057 FL Primary

Addresses

Primary practice location

13901 US Highway 1 Ste 5
Juno Beach, FL 33408-1612

Mailing address

10101 Oak Bark LN
Palm Beach Gardens, FL 33410-5130
Phone (561) 601-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 21, 2026 through Jan 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F11250057FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1952271108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 OAK BARK LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105130",
            "telephone_number": "561-601-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1 STE 5",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-491-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "JOHANNA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "F11250057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

Verify at the official NPI Registry.