MRS. CARLY NICOLE JOHNSON (NPI# 1033580550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033580550 |
| Entity Type | Individual |
| Full Name | MRS. CARLY NICOLE JOHNSON |
| Credential | ARNP, FNP-C |
| Practice Address |
6600 Madison St New Port Richey FL 34652-1971 |
| Mailing Address |
6600 Madison Ave New Port Richey FL 34652 |
| Practice Telephone | 7277346888 |
| Mailing Telephone | 7277346888 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9321326 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222798 | Carly M Johnson | Social Worker | 600 E 125th St Bldg 108, New York, NY 10035-6000 | 2019-06-03 |
| 1366055980 | Carly Johnson | Behavior Technician | 1701 Smith St, Orange Park, FL 32073-4820 | 2020-08-24 |
| 1790317329 | Carly Jean Johnson | Speech-Language Pathologist | 5202 Olympic Dr Ste 100, Gig Harbor, WA 98335-1727 | 2020-02-11 |
| 1316504731 | Carly Frazier Johnson | Counselor | 170 Brown Pl, Bronx, NY 10454-4140 | 2019-05-21 |
| 1275099681 | Carly A Johnson | Case Manager/Care Coordinator | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2019-02-11 |
| 1528545886 | Carly Johnson | Physical Therapy Assistant | 2560 Ne Hopkins Ct, Pullman, WA 99163-5622 | 2018-07-19 |
| 1861882896 | Carly Johnson | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-01-29 |
| 1699177170 | Carly Morgan Johnson | Dietitian, Registered | 1045 N State Highway 121, Mt Zion, IL 62549-1219 | 2014-09-16 |
| 1235418120 | Carly Johnson | Counselor | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2011-08-09 |
| Street Address |
6600 MADISON ST |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187733 | Sherri Ann Hayes | Nurse Anesthetist, Certified Registered | 6600 Madison St, C/o Morton Plant Mease Outpatient Anesthesia, New Port Richey, FL 34652-1971 | 2005-07-13 |
| 1992359038 | Grace Maria Joseph | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2019-07-26 |
| 1508338104 | Caitlin Anne O'kennedy | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-12-20 |
| 1225500861 | Brittany Lynn Nooney | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-12-20 |
| 1184127888 | Jenna Madhavan Gibbons | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-03-09 |
| 1932556560 | Brianne Leigh Farmer | Emergency Medicine | 6600 Madison St, New Port Richey, FL 34652-1971 | 2016-05-24 |
| 1427440544 | Stephanie Bonventre | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-02-26 |
| 1558752279 | Ian Simpson | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-02-17 |
| 1932524881 | Marta M Howell | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652 | 2014-03-03 |
| 1780015966 | Vibhaben J Patel | Internal Medicine | 6600 Madison St, 2nd Floor, New Port Richey, FL 34652-1971 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1730732587 | Robert Kwan | Nurse Practitioner | 4905 Manor Dr, New Port Richey, FL 34652-6159 | 2019-07-22 |
| 1891357323 | Diana Hatton | Nurse Practitioner | 8215 State Road 54, New Port Richey, FL 34655-3016 | 2019-07-04 |
| 1487122297 | Kelle Christine Degroat | Nurse Practitioner | 10106 Hermosillo Dr., Street Address 2, New Port Richey, FL 34655-3465 | 2018-11-09 |
| 1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
| 1710381215 | Rachel Stewart | Nurse Practitioner | 7826 Grimsby Ln, New Port Richey, FL 34655-4264 | 2014-10-14 |
| 1790102796 | Bassam Kassem Radwan | Nurse Practitioner | 5340 Gulf Dr Ste 105, New Port Richey, FL 34652-3922 | 2014-03-27 |
| 1013343193 | Medical Housecall Services Inc | Nurse Practitioner | 6004 Riviera Ln, New Port Richey, FL 34655-5629 | 2013-09-19 |
| 1861743122 | Nancy Louise Dahl | Nurse Practitioner | 5004 Osprey Ln, New Port Richey, FL 34652-1111 | 2012-09-27 |
| 1134475627 | Kanwaljit K Sidhu | Nurse Practitioner | 10925 Sr 54, New Port Richey, FL 34655 | 2012-08-02 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
Please comment or provide details below to improve the information on MRS. CARLY NICOLE 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.