Active NPI
Paulette Lynn Johnson
- Registered Nurse
- Niles, OH
National Provider Identifier
1124375787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN384037
- Practice address
- 525 North Rd
Apt. 2
Niles, OH 44446-2025 - Phone
- (330) 240-9443
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | RN384037 | OH | Primary |
Addresses
Primary practice location
525 North Rd
Apt. 2
Niles, OH 44446-2025
Mailing address
525 North Rd.
Apt. 2
Niles, OH 44446
Phone (330) 240-9443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2947539 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN384037 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1124375787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 NORTH RD.",
"address_2": "APT. 2",
"city": "NILES",
"state": "OH",
"postal_code": "44446",
"telephone_number": "330-240-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NORTH RD",
"address_2": "APT. 2",
"city": "NILES",
"state": "OH",
"postal_code": "444462025",
"telephone_number": "330-240-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PAULETTE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN384037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2947539",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.