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

Tara Johnson

Individual provider Family Nurse Practitioner · NPI 1578916508

Tara Johnson is a Nurse Practitioner in Bradenton, Florida. Qualified in 2016, 10 years ago. Practices with Shadrick Kralik MD PA, an 18-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3718
Phone: (941) 388-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9371213 (FL)

Record details

NPI number1578916508
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3718

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 Shadrick Kralik Md Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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