SUSANNAH JOHNSON


Address: 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512
Phone: 7722882400

SUSANNAH JOHNSON (NPI# 1942740360) 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) 1942740360
Entity Type Individual
Full Name SUSANNAH JOHNSON
Credential ARNP
Practice Address 1050 Se Monterey Rd Ste 400
Stuart
FL 34994-4512
Mailing Address Po Box 2900
Stuart
FL 34995-2900
Practice Telephone 7722882400
Mailing Telephone 7722882400
Mailing Fax Number 7724190143
Enumeration Date 2017-03-04
Last Update Date 2019-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP9380811 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL LICENSE NUMBER ARNP9380811 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
6325 Us Highway 27 N, Ste 201, Sebring, FL 338708226 8633852222 8633828765
9401 Sw Discovery Way Ste 201, Port Saint Lucie, FL 349872381 7722882400

Other Providers SUSANNAH JOHNSON

NPI Name Taxonomy Address Enumeration
1588299853 Susannah Johnson Nutritionist 539 San Bernardino Ave, Newport Beach, CA 92663-4812 2020-03-07
1750606075 Susannah E Johnson Internal Medicine 4220 Harding Pike, Suite 500, Nashville, TN 37205-2005 2010-03-30

Office Location

Street Address 1050 SE MONTEREY RD STE 400
City STUART
State FL
Zip Code 34994-4512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194720797 Caitlyn G Prucinsky Physician Assistant 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2005-06-20
1982065264 Nicholas Demarco Physician Assistant 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2016-03-14
1912363623 Jayce Reed Physician Assistant 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2016-01-11
1962836569 Robert William Lambert Physician Assistant 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2013-08-30
1568809937 Chaquera Ernesta Jackson Specialist/Technologist 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2013-05-26
1588950547 Alan Ryan Blackburn II Orthopaedic Surgery 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2011-06-28
1265744205 Daniel A. Jones Orthopaedic Surgery 1050 Se Monterey Rd Ste 400, Stuart, FL 34994 2010-07-07
1225221047 Check C. Kam Orthopaedic Surgery 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2007-08-24
1093837320 Sharon Alicia Cain Licensed Practical Nurse 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2007-04-06
1003999590 Richard Anthony Planzo Nurse Practitioner 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 2006-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543711 Prestige Medical Billing. Inc Durable Medical Equipment & Medical Supplies 2678 Se Willoughby Blvd, Stuart, FL 34994 2019-11-27
1780229203 Katherine Ginn Occupational Therapist 809 Se Central Parkway, Stuart, FL 34994 2019-11-07
1972167294 Melissa Callaham Lcsw Social Worker 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 2019-04-23
1053881300 Spencer Perna Chiropractor 632 Se Monterey Rd., Stuart, FL 34994 2018-11-29
1720563521 National Vision Inc Technician/Technologist 2600 Southeast Federal Highway, Stuart, FL 34994 2018-09-27
1649767351 Frank Alario Md & Associates Non-Pharmacy Dispensing Site 721 South Colorado Avenue, Stuart, FL 34994 2018-04-18
1609305499 Wideline Thelemaque-claire Behavior Technician 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 2017-06-06
1316488984 Jessica Gaffney Social Worker 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 2017-03-16
1578012035 Essentials Medical Group, LLC Internal Medicine 2694 Se Willoughby Blvd, Stuart, FL 34994 2016-09-26
1356898324 Waters Edge Dermatology Global LLC Surgery 2601 S Kanner Highway, Stuart, FL 34994 2016-09-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457966830 Tatiana S Beir Nurse Practitioner 1400 Nw Federal Hwy, Stuart, FL 34994-1020 2020-09-11
1144791575 Ashley Lynn East Nurse Practitioner 1141 Se Indian St Ste 102, Stuart, FL 34997-5764 2018-12-11
1548773096 Donna J Thomas Nurse Practitioner 6581 Se Baltusrol Ter, Stuart, FL 34997-8679 2017-11-07
1508238031 Nidia Garcia Nurse Practitioner 1050 Se Monterey Rd Ste 204, Stuart, FL 34994-4512 2015-10-23
1811241029 Jeanette Anastacia Reyes Nurse Practitioner 931 Se Ocean Blvd Ste A, Stuart, FL 34994-2425 2012-11-09
1083985717 Elizabeth N Rosainz Nurse Practitioner 900 Se Salerno Road, Stuart, FL 34997 2012-01-26
1912289588 Kim Mohler Nurse Practitioner 200 Se Hospital Avenue, Stuart, FL 34995-0417 2011-09-09
1255418307 Leslie Suzanne Sparks Nurse Practitioner 1607 B Nw Federal Hwy, Stuart, FL 34994 2006-11-01
1780618306 Erika A Cilurso Nurse Practitioner 863 Se Monterey Commons Blvd, Stuart, FL 34996 2006-07-10
1184676405 Mechele Lee Smith Nurse Practitioner 2456 Sw Regency Rd, Stuart, FL 34997-1220 2006-05-16
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City STUART
Zip Code 34994

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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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