MS. JACQUELINE BROOKE JOHNSON (NPI# 1346693231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346693231 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE BROOKE JOHNSON |
| Credential | PA-C |
| Practice Address |
430 Morton Plant St Suite 301 Clearwater FL 33756-3395 |
| Practice Telephone | 7274616026 |
| Practice Fax Number | 7274611492 |
| Mailing Telephone | 7274616026 |
| Mailing Fax Number | 7274611492 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9109476 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| Street Address |
430 MORTON PLANT ST SUITE 301 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896699 | Thurman Johnson Ross | Specialist | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2005-10-25 |
| 1366898108 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2016-05-11 |
| 1487014171 | Kristen Hicks | Occupational Therapist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2016-02-24 |
| 1073998985 | Adam Pignon | Physical Therapist | 430 Morton Plant St, 206, Clearwater, FL 33756-3398 | 2015-07-22 |
| 1639426810 | Christopher Michael Edelman | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2012-08-07 |
| 1104180280 | Shannon Marie Barsema | Clinical Neuropsychologist | 430 Morton Plant St, Suite 402, Clearwater, FL 33756-3398 | 2012-07-03 |
| 1083980767 | Antonia M Favacho | Physical Therapy Assistant | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-28 |
| 1881968873 | Nancy Carol Blair | Speech-Language Pathologist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-08 |
| 1275807570 | Carly Runkles | Physical Therapist | 430 Morton Plant St, Suite 101, Clearwater, FL 33756-3398 | 2012-03-05 |
| 1053681080 | J & N Pharmacy Corp | Pharmacy | 430 Morton Plant St, Suite 100a, Clearwater, FL 33756-3398 | 2012-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481209 | Tia Schlachter | Physician Assistant | 330 Fairwood Ave Apt 103, Clearwater, FL 33759-3130 | 2020-09-10 |
| 1801444195 | Rosalie Gabriella Holland | Physician Assistant | 400 Pinellas St Ste 300, Clearwater, FL 33756-3314 | 2019-08-29 |
| 1104334689 | Manuela M Aguilar | Physician Assistant | 2655 State Road 580 Ste 202, Clearwater, FL 33761-3167 | 2018-01-18 |
| 1366968158 | Brooke Barnhart | Physician Assistant | 1001 S Fort Harrison Ave Ste 101, Clearwater, FL 33756-3941 | 2017-08-14 |
| 1487027991 | Jason Berger | Physician Assistant | 300 Pinellas St # Ms 36, Clearwater, FL 33756-3804 | 2015-11-05 |
| 1144690520 | Amanda Elyse Gilbert | Physician Assistant | 611 S Fort Harrison Ave # 354, Clearwater, FL 33756-5301 | 2015-09-29 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1699108373 | Lori L Fehr | Physician Assistant | 18167 U.S. Highway 19n, Suite 650, Emcare Attn: Laurie, Clearwater, FL 33764 | 2013-08-16 |
| 1639512791 | Jaclyn L Mascarin | Physician Assistant | 300 Pinellas St # Ms -36, Clearwater, FL 33756-3804 | 2013-04-09 |
| 1285993097 | Jaunice Scopelliti Cottone | Physician Assistant | 2454 N Mcmullen Booth Rd Ste 601, Clearwater, FL 33759-1345 | 2012-05-14 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on MS. JACQUELINE BROOKE JOHNSON.
| 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.