Active NPI
Tiffany Nichole Johnson-Dunn, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA09313-NA
- Practice address
- 311 Straight Street
Millenium Anesthesia LLC
Cincinnati, OH 45219 - Phone
- (859) 341-7246
- Fax
- (859) 341-7867
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA09313-NA | OH | Primary |
Addresses
Primary practice location
311 Straight Street
Millenium Anesthesia LLC
Cincinnati, OH 45219
Mailing address
3131 S. Dixie Drive
Moraine, OH 45439-2223
Phone (937) 293-0247
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200855630 | Medicaid | IN | |
| 000000506905 | Other | ANTHEM | |
| 2743455 | Medicaid | OH | |
| 7100018220 | Medicaid | KY |
Other names 1
- Tiffany Nichole Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA09313-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Millenium Anesthesia LLC | Past | Accepting new patients |
Locations
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
7810 5 Mile Rd
Ste B
Cincinnati, OH 45230
Phone (513) 977-9640
6480 Harrison Ave
Ste 200
Cincinnati, OH 45247
Phone (513) 354-7787
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1659350494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1144352261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 S. DIXIE DRIVE",
"city": "MORAINE",
"state": "OH",
"postal_code": "454392223",
"telephone_number": "937-293-0247",
"fax_number": "937-293-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 STRAIGHT STREET",
"address_2": "MILLENIUM ANESTHESIA LLC",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-DUNN",
"first_name": "TIFFANY",
"middle_name": "NICHOLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA09313-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200855630",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000506905",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2743455",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100018220",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "JOHNSON",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.