Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083836852 Individual Practitioner Female Practitioner

Sandra Y Johnson

Specialist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Sandra Johnson is a registered healthcare professional specializing in Specialist in Jacksonville, FL. Practice services are available at 1800 EDGEWOOD AVE, WEST #164 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1800 Edgewood Ave, West #164

Jacksonville, FL 322085928

Telephone 9043187993

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
107 Specialists

Practicing in Jacksonville, FL (3036 Statewide)

Telehealth Adoption Rate
0.9% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL NH2114

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 31, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 31, 2012

Registered at 1800 EDGEWOOD AVE, WEST #164, JACKSONVILLE, FL 322085928 (Tel: 9043187993)

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Updated Business Mailing Address December 31, 2012

Registered at 1800 EDGEWOOD AVE W APT 164, JACKSONVILLE, FL 322088004 (Tel: 9043187993)

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Provider Name / Credentials Updated December 31, 2012

Recorded as SANDRA JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2012

Specialist (License #NH2114 in FL)

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Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083836852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: December 31, 2012
Sole Proprietor: Yes

Mailing Address

1800 Edgewood Ave W Apt 164

Jacksonville, FL 322088004

Phone: 9043187993

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.