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

Tanisha Marie Johnson

Individual provider Nurse Practitioner · NPI 1568987873

Tanisha Marie Johnson is a Nurse Practitioner in Leesburg, Florida. Qualified in 2016, 10 years ago. Practices with Integrated Rehab Consultants Florida PLLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

27637 US Highway 27
Leesburg, FL 34748-9033
Phone: (352) 326-6001
Fax: (352) 315-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 — (407) 280-9309

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11005451 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11005451 (FL)

Record details

NPI number1568987873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Integrated Rehab Consultants Florida Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Leesburg