Active NPI
Tabitha S Johnson, RN
- Registered Nurse
- Waverly, OH
National Provider Identifier
1124274600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 314531
- Practice address
- 102 Dawn LN
Waverly, OH 45690-9695 - Phone
- (740) 947-7783
- Fax
- (740) 947-4226
- NPI assigned
- Aug 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 314531 | OH | Primary |
Addresses
Primary practice location
102 Dawn LN
Waverly, OH 45690-9695
Mailing address
4449 State Route 159
P.O. Box 6179
Chillicothe, OH 45601-8620
Phone (740) 775-1260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 314531 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1124274600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4449 STATE ROUTE 159",
"address_2": "P.O. BOX 6179",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-775-1260",
"fax_number": "740-773-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 DAWN LN",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909695",
"telephone_number": "740-947-7783",
"fax_number": "740-947-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TABITHA",
"middle_name": "S",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN 314531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.