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Stevie Johnson

Physician β€’ Tampa, FL

Deactivated NPI 1992018097 Deactivated in NPPES Male Practitioner
Practice location in NPPES

4132 Bismarck Palm Dr
Tampa, FL 336109037

Phone: 8136674268

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 14, 2017; the reason is not published. The records below are historical. They do not show whether Stevie Johnson currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 17, 2010
NPI Deactivation Date December 14, 2017
NPI Active Period 2010 – 2017

Practice Location & Contact Primary Location

Practice Address

4132 Bismarck Palm Dr

Tampa, FL 336109037

Telephone 8136674268

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Tampa and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated December 14, 2017

NPPES lists this NPI as deactivated as of December 14, 2017; the reason is not published.

βœ…
NPI Profile Active July 17, 2010

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 17, 2010

Registered at 4132 BISMARCK PALM DR, TAMPA, FL 336109037 (Tel: 8136674268)

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Business Mailing Address (Initial Record) July 17, 2010

Registered at 4132 BISMARCK PALM DR, TAMPA, FL 336109037

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Provider Name / Credentials (Initial Record) July 17, 2010

Recorded as STEVIE JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2010

Non-emergency Medical Transport (VAN)

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Initial NPI Registration & Enumeration July 17, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992018097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2010
Last Update: July 17, 2010
Deactivation Date: December 14, 2017

Mailing Address

4132 Bismarck Palm Dr

Tampa, FL 336109037

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.