NITTAYA JOHNSON (NPI# 1770102923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11006724 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14767 PORTER RD |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-8824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 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 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in WINTER GARDEN | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
Please comment or provide details below to improve the information on NITTAYA 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.