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Deactivated NPI 1437761830 Deactivated / Inactive NPI Female Practitioner

Johanna I Gates , RN

Homemaker • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Johanna Gates has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2020
NPI Deactivation Date September 04, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Johanna Gates, RN was a registered Homemaker practicing in Jacksonville, FL. Throughout an active medical career spanning 5 years, Johanna Gates provided care at the practice location at 15379 SPOTTED STALLION TRL until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

15379 Spotted Stallion Trl

Jacksonville, FL 322342397

Telephone 9048025267
Associated Practice Facility / Clinic
🏢 Authentic Healthcare, Llc Facility NPI 1942813233

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Jacksonville, FL

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

Practicing in Jacksonville, FL (774 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

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

State License FL 236942

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

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Updated Business Mailing Address August 12, 2021

Registered at 8576 ARLINGTON EXPY, JACKSONVILLE, FL 322118003 (Tel: 9048025267)

NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2020

Registered at 15379 SPOTTED STALLION TRL, JACKSONVILLE, FL 322342397 (Tel: 9048025267)

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Updated Business Mailing Address August 18, 2020

Registered at 15379 SPOTTED STALLION TRL, JACKSONVILLE, FL 322342397 (Tel: 9048025267)

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Provider Name / Credentials Updated August 18, 2020

Recorded as JOHANNA GATES, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Homemaker (License #236942 in FL)

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Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437761830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: August 18, 2020
Deactivation Date: September 04, 2025

Mailing Address

15379 Spotted Stallion Trl

Jacksonville, FL 322342397

Phone: 9048025267

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.