DR. ASHLEY BROOKE AUSTIN JOHNSON (NPI# 1003469412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003469412 |
| Entity Type | Individual |
| Full Name | DR. ASHLEY BROOKE AUSTIN JOHNSON |
| Credential | DNP, APRN, AGPCNP-C |
| Practice Address |
13330 Usf Laurel Dr Tampa FL 33612-6601 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8132590600 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN11003302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11003302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11003302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104089100 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | LQ7QK | 01 |
| Street Address |
13330 USF LAUREL DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579056 | Larry H. Collins | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2005-06-22 |
| 1770195075 | Andrew J Baxter | Physical Therapy Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-08-18 |
| 1104445147 | Levon Leo Ohanisian | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-04-09 |
| 1497383244 | Charles Max Seifer | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-03-28 |
| 1114569431 | Donna P. Ortiz | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-10-09 |
| 1417503269 | Ahlam Abukhdeir | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-16 |
| 1326694357 | Abbey Rose Liebert | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-15 |
| 1497317440 | Mackenzie Garreth | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-06-30 |
| 1477116952 | Kevin Garrett Allison | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-04-19 |
| 1649751983 | Mason Staggs | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157669 | Lotaya Anneka Hinds | Nurse Practitioner | 2105 E 115th Ave, Tampa, FL 33612-6121 | 2020-09-03 |
| 1821608324 | Racquel Creus | Nurse Practitioner | 20530 Colonial Isle Dr Unit 202, Tampa, FL 33647-3701 | 2020-08-09 |
| 1295360717 | Geni Horne | Nurse Practitioner | 931 Balaye Ridge Cir Apt 301, Tampa, FL 33619-5093 | 2020-03-04 |
| 1669006748 | Andrea Barnett | Nurse Practitioner | 3133 W Villa Rosa St, Tampa, FL 33611-2943 | 2020-02-27 |
| 1679104566 | Chinwe Ifeyinwa Iloanya | Nurse Practitioner | 4603 River Hills Dr, Tampa, FL 33617-6921 | 2020-01-29 |
| 1598231789 | Christee Elan Bond | Nurse Practitioner | 4809 N Armenia Ave Ste 210, Tampa, FL 33603-1425 | 2018-10-16 |
| 1609378991 | Randolph Diabetes and Wellness LLC | Nurse Practitioner | 8017 Savannah Sunset Ln, Tampa, FL 33615-1388 | 2018-03-02 |
| 1912407628 | Jonathan D Pope | Nurse Practitioner | 2708 N 22nd St, Tampa, FL 33605-2760 | 2018-02-19 |
| 1639607732 | Jackie Dale Hatten Jr. | Nurse Practitioner | 500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910 | 2017-06-01 |
| 1629519814 | Kristen Hanenian | Nurse Practitioner | 4905 W Laurel St, Suite 200, Tampa, FL 33607-3834 | 2017-03-20 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.