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Deactivated NPI 1609486646 Deactivated / Inactive NPI Female Practitioner

Shirley Johnson , ARNP

Registered Nurse • Riverview, 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, Shirley Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2020
NPI Deactivation Date May 08, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Shirley Johnson, ARNP was a registered Registered Nurse practicing in Riverview, FL. Throughout an active medical career spanning 4 years, Shirley Johnson provided care at the practice location at 12647 ADVENTURE DR until profile deactivation on 2024-05-08.

Practice Location & Contact Primary Location

Practice Address

12647 Adventure Dr

Riverview, FL 335797792

Telephone 7862519677

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Riverview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
26 Specialists

Practicing in Riverview, FL (4872 Statewide)

Telehealth Adoption Rate
3.8% 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License FL RN9391508

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2024

Record deactivated on May 08, 2024

NPI Profile Active August 10, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2020

Registered at 12647 ADVENTURE DR, RIVERVIEW, FL 335797792 (Tel: 7862519677)

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Updated Business Mailing Address August 10, 2020

Registered at 12647 ADVENTURE DR, RIVERVIEW, FL 335797792 (Tel: 7862519677)

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Provider Name / Credentials Updated August 10, 2020

Recorded as SHIRLEY JOHNSON, ARNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2020

Registered Nurse (License #RN9391508 in FL)

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Initial NPI Registration & Enumeration August 04, 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: 1609486646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2020
Last Update: August 10, 2020
Deactivation Date: May 08, 2024

Mailing Address

12647 Adventure Dr

Riverview, FL 335797792

Phone: 7862519677

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.