MRS. TYKEMA OCTAVIA JOHNSON DNP-APRN NPI 1548805187

NPI Information

NPI: 1548805187
Provider Name: MRS. TYKEMA OCTAVIA JOHNSON, DNP-APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MOUNT ELBERT INPATIENT SERVICES LLC

PECOS Registration: Yes

Address:
400 CELEBRATION PL
CELEBRATION, FL
ZIP 34747
Phone: (407) 303-4538
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MRS. Tykema Octavia Johnson, DNP-APRN is a family nurse practitioner in Celebration, FL with 4 years of experience. MRS. Tykema Octavia Johnson, DNP-APRN NPI is 1548805187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 CELEBRATION PL
CELEBRATION, FL
ZIP 34747-970
Phone: (407) 303-4538

The NPI 1548805187 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2019 and was last updated on 9/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN9390446	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11009495	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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