Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diantha Lucretia Johnson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1942017561

Diantha Lucretia Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Miramar, Florida. Qualified in 2022, 4 years ago. Practices with MD at Home Central Florida, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2024

Practice location Address checks out

8140 SW 29th St
Miramar, FL 33025-6712
Phone: (954) 854-5220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11036737 (FL)

Record details

NPI number1942017561
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Md At Home Central Florida, Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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