MS. TAISHA JOHNSON (NPI# 1104381490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104381490 |
| Entity Type | Individual |
| Full Name | MS. TAISHA JOHNSON |
| Credential | APRN, AGNP-C |
| Practice Address |
1893 Sw Kimberly Ave Port St Lucie FL 34953-1020 |
| Practice Telephone | 7726431645 |
| Mailing Telephone | 7726431645 |
| Mailing Fax Number | 3192146336 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11000891 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5804 Indian Pines Blvd, Fort Pierce, FL 349512302 | 7728283752 | 7723053518 |
| Street Address |
1893 SW KIMBERLY AVE |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178188 | Tj Wellness, LLC | Nurse Practitioner | 1893 Sw Kimberly Ave, Port St Lucie, FL 34953-1020 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1043823644 | Jose Ruben Aldo Dawson | Nurse Practitioner | 656 Sw Munjack Cv, Port St Lucie, FL 34986-4530 | 2020-08-25 |
| 1629533674 | Angela Renea Trodglen | Nurse Practitioner | 1801 Se Hillmoor Dr Ste C-207, Port St Lucie, FL 34952-7574 | 2019-02-04 |
| 1659835437 | Mirlange Odies Fleuriot | Nurse Practitioner | 2242 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4577 | 2019-01-25 |
| 1760959811 | Kim Czerwinski | Nurse Practitioner | 386 Se Cork Rd, Port St Lucie, FL 34984-6309 | 2018-10-26 |
| 1316453244 | Kathleen Anne Gribbon | Nurse Practitioner | 2518 Se Pineland Dr, Port St Lucie, FL 34952-8045 | 2017-12-14 |
| 1982121646 | Natasha Bienaime | Nurse Practitioner | 1018 Sw Facet Ave, Port St Lucie, FL 34953 | 2017-08-24 |
| 1760843304 | Tania Burey Mclean | Nurse Practitioner | 4182 Sw Baird St, Port St Lucie, FL 34953-3136 | 2016-03-09 |
| 1801264577 | Shelita Dunlap | Nurse Practitioner | 10023 S Us Highway 1 Ste A, Port St Lucie, FL 34952-5643 | 2015-09-10 |
| 1447587944 | Susan M Prendergast | Nurse Practitioner | 3533 Sw Vincennes St, Port St Lucie, FL 34953-3771 | 2009-11-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
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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.