SHANTAE RENEE JOHNSON


Address: 560 Big Sioux Ct, Poinciana, FL 34759-5927
Phone: 8632057815

SHANTAE RENEE JOHNSON (NPI# 1497304646) 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) 1497304646
Entity Type Individual
Full Name SHANTAE RENEE JOHNSON
Practice Address 560 Big Sioux Ct
Poinciana
FL 34759-5927
Practice Telephone 8632057815
Practice Fax Number 8634967722
Mailing Telephone 8632057815
Enumeration Date 2019-09-10
Last Update Date 2019-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 221013 FL Other Service Providers

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Office Location

Street Address 560 BIG SIOUX CT
City POINCIANA
State FL
Zip Code 34759-5927

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427671767 Touched By Harmony Home Care, LLC Chore Provider 1152 Hudson Harbor Ln, Kissimmee, FL 34759 2020-05-21
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1366938383 Diana Esther Baker Velez Case Manager/Care Coordinator 2202 Rio Grande Canyon Loop, Kissimmee, FL 34759 2018-07-02
1558863530 Cladyana Martinez Couvertier Specialist/Technologist 316 Edgewood Ct, Kissimmee, FL 34759 2018-03-06
1609397330 Michelle Echevarria Counselor 1413 Kissimme Dr, Kissimmee, FL 34759 2017-07-03
1326599549 Sheila Ramos Social Worker 335 Drum Court, Kissimmee, FL 34759 2016-10-24
1790155976 Yajaira Rivera Counselor 1908 Huron Terrace, Poinciana, FL 34759 2015-10-01
1508280371 Teamwork International Corp Family Medicine 1082 Cypress Parkway, Kissimmee, FL 34759 2014-02-13
1922433077 Pearl Ann Arrita Shiwram Technician, Pathology 703 Antelope Way, Kissimmee, FL 34759 2013-09-09
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

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1225636434 Toccara S Bennett Driver 5721 Rywood Dr, Orlando, FL 32810-6610 2020-10-12
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1063026037 Jarilsa E Narvaez Driver 3975 Sunset Rd, Lehigh Acres, FL 33971-5638 2020-09-07
1164035887 Lovell Braswell Jr. Driver 3706 Nw 122nd Ter, Sunrise, FL 33323-3319 2020-08-24
1093327009 Toni Mabien Driver 4701 E Hanna Ave, Tampa, FL 33610-2522 2020-08-20
1770193203 Timothy Webster Sr. Driver 1465 Shadow Creek Dr, Orange Park, FL 32065-2514 2020-08-10
1780293068 Guillermo Gonzalez I Driver 1037 Ne Pine Island Ln, Cape Coral, FL 33909-2176 2020-07-23
1821606633 Miguel Angel Cedeno Driver 6513 14th St W Ste 141, Bradenton, FL 34207-5803 2020-07-17
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Competitor

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City POINCIANA
Zip Code 34759

Improve Information

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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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