IndividualActive
Malachi Johnson
NPI 1083186043 · Student in an Organized Health Care Education/Training Program · Tampa, FL
Provider details
- NPI number
- 1083186043
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
- License
- PSI34692 (FL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense PSI34692 (FL)
Student, Health Care
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3500 E Fletcher Ave Ste 133
Tampa, FL 33613-4709
Phone: (727) 460-4869
Street-level locationGet directions
Mailing address
1465 15th St S
Saint Petersburg, FL 33705-2413
Registry dates
- Enumerated
- 2018-12-31
- Last updated
- 2018-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.