Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487572434 Individual Practitioner Male Practitioner

Kevin B Johnson , CRANIAL PROSTHESIS

Prosthetist • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Kevin Johnson, CRANIAL PROSTHESIS is a registered healthcare professional specializing in Prosthetist in Clearwater, FL. Practice services are available at 2569 COUNTRYSIDE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2569 Countryside Blvd
Building 20 Suite 127

Clearwater, FL 33761

Telephone 7274089049

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Clearwater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Clearwater, FL (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License FL BB8897104

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2026

Registered at 2569 COUNTRYSIDE BLVD, BUILDING 20 SUITE 127, CLEARWATER, FL 33761 (Tel: 7274089049)

📍
Updated Business Mailing Address July 08, 2026

Registered at 2569 COUNTRYSIDE BLVD, CLEARWATER, FL 337613581 (Tel: 7274601221)

👤
Provider Name / Credentials Updated July 08, 2026

Recorded as KEVIN JOHNSON, CRANIAL PROSTHESIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Prosthetist (License #BB8897104 in FL)

🟢
Initial NPI Registration & Enumeration July 08, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kevin Johnson. Be the first to share your experience!

Sign in to leave a review for Kevin Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487572434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2026
Last Update: July 08, 2026
Sole Proprietor: Yes

Mailing Address

2569 Countryside Blvd

Clearwater, FL 337613581

Phone: 7274601221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.