Life Extension Clinics, Inc
NPI 1376869073ActiveOrganization· Registered Nurse, General Practice· Tampa, FL
Registered Nurse, General Practice in Tampa, Florida, registered in NPPES in April 2010. The authorized official on file is Patricia Johnson, Ceo.
Overview
| NPI | 1376869073 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2010 |
| Last updated in NPPES | Apr 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | RN1456802 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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