TARA JOHNSON NPI 1578916508

NPI Information

  • NPI: 1578916508
  • Provider Name: TARA JOHNSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5860 RANCH LAKE BLVD
    SUITE 200
    BRADENTON, FL
    ZIP 34202
  • Phone: (941) 388-8997

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NPI Details

Tara Johnson is a family nurse practitioner in Bradenton, FL. Tara Johnson NPI is 1578916508. 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:

5860 RANCH LAKE BLVD
SUITE 200
BRADENTON, FL
ZIP 34202-718
Phone: (941) 388-8997

The NPI 1578916508 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.

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
1363LF0000XNurse PractitionerFamilyARNP9371213FLORIDAYes

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: 11/21/2025

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