Timothy Harold Johnson, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN9407681 Issued in FL

Practice address

9209 Seminole Blvd Unit 209
Seminole, FL 33772-3142

Phone

(412) 992-1658

NPI assigned

Jun 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1992363089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 SEMINOLE BLVD UNIT 209",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723142",
            "telephone_number": "412-992-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 SEMINOLE BLVD UNIT 209",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723142",
            "telephone_number": "412-992-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIMOTHY",
        "middle_name": "HAROLD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9407681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Corin Jimenez, PT, DPT
• Jennifer Henkel Johnson, D.M.D.
• Kenneth Todd Johnson
• Polly Anna Johnson
• Summer Johnson
• Charyll Thaxton Jones, BHT
• Courtney Jones, APRN
• Demetrius Jones
• Mary Jane Jones, OTR L
• Timothy Jones, DO

• Addiction (Substance Use Disorder) Registered Nurse in Seminole, FL
• Providers in Seminole, FL by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.