MALACHI JOHNSON (NPI# 1083186043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083186043 |
| Entity Type | Individual |
| Full Name | MALACHI JOHNSON |
| Practice Address |
3500 E Fletcher Ave Ste 133 Tampa FL 33613-4709 |
| Mailing Address |
1465 15th St S Saint Petersburg FL 33705-2413 |
| Practice Telephone | 7274604869 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PSI34692 | FL | Student, Health Care |
| Street Address |
3500 E FLETCHER AVE STE 133 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1578162947 | Hayly Alexandrea Babcock | Student in an Organized Health Care Education/Training Program | 936 S Howard Ave Unit 305, Tampa, FL 33606-2492 | 2020-10-18 |
| 1821605023 | Jenna Vachon | Student in an Organized Health Care Education/Training Program | 7413 S West Shore Blvd, Tampa, FL 33616-2818 | 2020-09-30 |
| 1255947131 | Jesse Wood | Student in an Organized Health Care Education/Training Program | 124 S Morgan St Unit 1123, Tampa, FL 33602-5325 | 2020-09-16 |
| 1053925321 | Miranda Nunez | Student in an Organized Health Care Education/Training Program | 2806 W Powhatan Ave, Tampa, FL 33614-6039 | 2020-09-03 |
| 1114536141 | Natalie Michelle Fernandez | Student in an Organized Health Care Education/Training Program | 3107 N Perry Ave, Tampa, FL 33603-5346 | 2020-07-27 |
| 1215552112 | Yaimara Pena | Student in an Organized Health Care Education/Training Program | 10134 Lake Oak Cir, Tampa, FL 33624-5214 | 2020-06-16 |
| 1538784780 | Kristen N Moeller | Student in an Organized Health Care Education/Training Program | 6119 D and J Dr, Tampa, FL 33625-3264 | 2020-06-13 |
| 1548884513 | Bassam Aysheh | Student in an Organized Health Care Education/Training Program | 10350 Rosemount Dr, Tampa, FL 33624-5122 | 2020-06-04 |
| 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.