SHAYNA JOHNSON (NPI# 1245871128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245871128 |
| Entity Type | Individual |
| Full Name | SHAYNA JOHNSON |
| Practice Address |
33825 Secret Hill Dr Leesburg FL 34788-3845 |
| Mailing Address |
10123 Us Highway 441 Leesburg FL 34788-3952 |
| Practice Telephone | 2317607330 |
| Mailing Telephone | 3529016288 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9379136 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992028062 | Shayna Beth Johnson | Nurse Anesthetist, Certified Registered | 1100 9th Ave, B2-an, Seattle, WA 98101-2756 | 2010-03-03 |
| Street Address |
33825 SECRET HILL DR |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416094 | Tia Tenease Barriner | Nurse Practitioner | 1626 Sterns Dr, Leesburg, FL 34748-2019 | 2020-04-17 |
| 1679102818 | Heather Georgiana Pickle | Nurse Practitioner | 172 Fowler Dr, Leesburg, GA 31763-5012 | 2020-04-08 |
| 1952940876 | Brittany Breen | Nurse Practitioner | 44055 Riverside Pkwy Ste 100, Leesburg, VA 20176-5155 | 2019-12-23 |
| 1144785882 | Dharma Deekshita Lakshman Rao | Nurse Practitioner | 5819 Windsong Oak Dr, Leesburg, FL 34748-3474 | 2019-02-06 |
| 1821553827 | Angela L Tatro | Nurse Practitioner | 27637 Us Highway 27, Leesburg, FL 34748-9033 | 2019-02-04 |
| 1265996516 | Monica Cherise Jenkins | Nurse Practitioner | 2113 Griffin Rd, Leesburg, FL 34748-3303 | 2019-01-30 |
| 1780154708 | Orlandria Michelle Bennett-reed | Nurse Practitioner | 129 Oakland Pkwy, Leesburg, GA 31763-7201 | 2018-12-03 |
| 1902375694 | Erica Shackelford | Nurse Practitioner | 540 Fort Evans Rd Ste 204, Leesburg, VA 20176-3379 | 2018-11-26 |
| 1851888242 | Shaneidra Hayes | Nurse Practitioner | 115 Pelham Dr, Leesburg, GA 31763-4913 | 2018-04-20 |
| 1487176053 | Zahra Hussain | Nurse Practitioner | 1625 Chickasaw Pl Ne, Leesburg, VA 20176-6622 | 2017-07-14 |
| Find all providers in LEESBURG | ||||
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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.