| Mrs Tykema Octavia Johnson, DNP-APRN | |
|
400 Celebration Pl, Celebration, FL 34747-4970 | |
| (407) 303-4538 | |
| Not Available |
| Full Name | Mrs Tykema Octavia Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 400 Celebration Pl, Celebration, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548805187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9390446 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11009495 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osceola Regional Medical Center | Kissimmee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mana Health Partners Pa | 3971952813 | 67 |
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 471 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Entity Name | Mana Health Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437925047 PECOS PAC ID: 3971952813 Enrollment ID: O20231218001517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tykema Octavia Johnson, DNP-APRN 2805 Tower Rock St, Kissimmee, FL 34758-2512 Ph: (321) 246-2797 | Mrs Tykema Octavia Johnson, DNP-APRN 400 Celebration Pl, Celebration, FL 34747-4970 Ph: (407) 303-4538 |
Deborah Lee Brady-hull, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 Celebration Pl Fl 2, Celebration, FL 34747 Phone: 407-821-3627 Fax: 407-303-4546 | |
Mrs. Melinda Christine Vazquez, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Celebration Pl Ste 300, Celebration, FL 34747 Phone: 407-303-4886 Fax: 407-894-7032 | |
Mauree Rhame, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Celebration Pl Ste A320, Celebration, FL 34747 Phone: 407-409-8000 | |
Dr. Alyssa Ptacek, DNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Celebration Pl, Celebration, FL 34747 Phone: 407-303-4000 | |
Miss Jessica Lynn Mcguire, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Celebration Pl Ste 103, Celebration, FL 34747 Phone: -- | |
Carmen Foubelo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Celebration Blvd Ste 238, Celebration, FL 34747 Phone: 855-228-0790 Fax: 866-422-3202 | |
Mrs. Janil Toribio, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Celebration Blvd Ste 301, Celebration, FL 34747 Phone: 407-566-9700 |