PATRICK JONAS JOHNSON (NPI# 1841658622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841658622 |
| Entity Type | Individual |
| Full Name | PATRICK JONAS JOHNSON |
| Credential | ARNP, FNP-C |
| Practice Address |
4120 Henderson Blvd Tampa FL 33629-5750 |
| Practice Telephone | (815) 543-5040 |
| Mailing Telephone | (815) 543-5040 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9456585 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013854 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451927 | Patrick Louis Johnson | Specialist/Technologist | 103 Lynbrook Blvd, Madison, AL 35758-8137 | 2019-01-22 |
| 1699058610 | Patrick Brooks Johnson | Physical Therapy Assistant | 113 Loma Linda Dr, Cleveland, GA 30528-3164 | 2011-09-26 |
| 1275854135 | Patrick Trey Johnson | Pharmacist | 13776 N Hwy 183, Austin, TX 78750-1872 | 2010-06-15 |
| 1346563228 | Patrick Johnson | Pharmacist | 151 W Lake St Suite 1100 Campus Delivery 8031, Fort Collins, CO 80523-7046 | 2010-03-08 |
| 1467626853 | Patrick Dean Johnson | Chiropractor | 2610 4th Ave W, Gladstone, MI 49837-2107 | 2008-04-16 |
| 1710033774 | Patrick Todd Johnson | Dentist | 5111 Ehrlich Rd, Suite150, Tampa, FL 33624-2075 | 2007-01-25 |
| 1699844522 | Patrick L Johnson | Dentist | 108 Oakmont Dr, Greenville, NC 27858-5936 | 2006-11-07 |
| 1972603918 | Patrick R Johnson | Psychologist | 2901 Ne Blakeley St, Suite 3b, Seattle, WA 98105-3164 | 2006-09-22 |
| 1649276866 | Patrick Anthony Johnson | Optometrist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2005-06-22 |
| 1225684533 | Patrick Johnson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Spc 5332, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5331 | 2019-08-13 |
| Street Address |
4120 HENDERSON BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164526133 | Holiday Cvs LLC | Pharmacy | 4120 Henderson Blvd, Tampa, FL 33629-5750 | 2006-09-12 |
| 1285249763 | Krystin Marie Love | Nurse Practitioner | 4120 Henderson Blvd, Tampa, FL 33629-5750 | 2020-09-11 |
| 1629590260 | Brad Richert | Pharmacist | 4120 Henderson Blvd, Tampa, FL 33629-5750 | 2017-07-14 |
| 1407108475 | Ann Elizabeth Ross | Nurse Practitioner | 4120 Henderson Blvd, Tampa, FL 33629-5750 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| 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.