NITTAYA JOHNSON


Address: 14767 Porter Rd, Winter Garden, FL 34787-8824
Phone: 5054534774

NITTAYA JOHNSON (NPI# 1770102923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770102923
Entity Type Individual
Full Name NITTAYA JOHNSON
Credential APRN
Practice Address 14767 Porter Rd
Winter Garden
FL 34787-8824
Practice Telephone 5054534774
Mailing Telephone 5054534774
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11006724 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14767 PORTER RD
City WINTER GARDEN
State FL
Zip Code 34787-8824

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1710501879 Hz Surgery Center LLC Clinic/Center 17085 Porter Road, Suite 110, Winter Garden, FL 34787 2020-06-04
1235759416 Callie Rebecca Alt Student in an Organized Health Care Education/Training Program 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 2020-04-17
1992345102 Advn Dental Partners Pa Dentist 516 S. Dillard Street, Winter Garden, FL 34787 2020-01-15
1942851225 Sara Walker Physical Therapist 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 2019-09-26
1801449996 Tiffani Green Behavior Technician 678 W Bay St Apt 52, Winter Garden, FL 34787 2019-07-18
1811461353 Ricardo Villalobos Pa Psychiatry & Neurology 16606 Broadwater Ave, Winter Garden, FL 34787 2019-01-17
1871078089 Alton Graydon Cumberbatch Sr. Pharmacist 646 S. Dillard Street, Winter Garden, FL 34787 2018-10-03
1629551395 Andrew Petersen Physical Therapy Assistant 5204 W. Colonial Drive, Winter Garden, FL 34787 2018-09-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770190530 Kimberly Keech Nurse Practitioner 1452 Scarlet Oak Loop, Winter Garden, FL 34787-6156 2020-09-25
1124638911 Wesley Labour Nurse Practitioner 14628 Porter Rd, Winter Garden, FL 34787-8784 2020-08-05
1366097685 Tam Thi Hue Nguyen Nurse Practitioner 1554 Spring Ridge Cir, Winter Garden, FL 34787-4908 2019-08-04
1245884360 Rose Verlande Thompson Nurse Practitioner 9457 Meadow Hunt Way, Winter Garden, FL 34787-3293 2019-07-26
1225697824 Kathryn Roberson Nurse Practitioner 729 Mossyrock Ave, Winter Garden, FL 34787-2432 2019-06-07
1770051195 Thalia Boreland Guare Nurse Practitioner 518 Dharma Cir, Winter Garden, FL 34787-4366 2018-11-03
1396228342 Marjorie Pancho Abanador Nurse Practitioner 5772 Laurel Cherry Ave, Winter Garden, FL 34787-6409 2018-09-14
1780163600 Stephanie Patricia Haubrock Nurse Practitioner 14154 Shocklach Dr, Winter Garden, FL 34787-4741 2018-08-10
1982114609 Nancy C Shearey Nurse Practitioner 15217 Hayworth Dr, Winter Garden, FL 34787-5556 2017-10-08
1508397522 Karen L Kelly Nurse Practitioner Take Care Health Services, Pa, 13720 W Colonial Dr, Winter Garden, FL 34787 2017-03-22
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Competitor

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City WINTER GARDEN
Zip Code 34787

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Dataset Information

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.

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