JOHNSON RIVERSIDE FAMILY PRACTICE LLC – NPI #1295409423
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JOHNSON RIVERSIDE FAMILY PRACTICE LLC is a provider located in MOORE HAVEN, FL. NPPES has assigned the NPI number 1295409423 to JOHNSON RIVERSIDE FAMILY PRACTICE LLC on August 02, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Oct 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNSON RIVERSIDE FAMILY PRACTICE LLC below.

NPI Profile for
JOHNSON RIVERSIDE FAMILY PRACTICE LLC

NPI Number
1295409423
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNSON RIVERSIDE FAMILY PRACTICE LLC
Primary location
43 AVENUE J
MOORE HAVEN, FL 33471
Phone: (863) 599-1620 Fax:
Mailing address
43 AVENUE J SW
MOORE HAVEN, FL 33471-2116
Phone: (863) 946-0284 Fax: (863) 946-0794
Organization Subpart
No
Authorized Official
JENNIFER JOHNSON
APRN
Phone: (863) 946-0284
Updated
Certification Date
Oct 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.