Individual provider Active NPI

Tameka Denise Hines, RN

  • Registered Nurse
  • Dayton, OH
National Provider Identifier
1174859755
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN449811 Issued in OH
Practice address
5027 Yalecrest Dr
Dayton, OH 45417-8353
Phone
(937) 674-5668
Fax
(937) 522-0367
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN449811 OH Primary

Addresses

Primary practice location

5027 Yalecrest Dr
Dayton, OH 45417-8353

Mailing address

5027 Yalecrest Dr
Dayton, OH 45417-8353
Phone (937) 674-5668

Other names 1

  • Tameka D Johnson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tdenisejohnson14@gmail.com

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

LicenseStateTypeSpecialty
RN449811OHMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1174859755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 YALECREST DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454178353",
            "telephone_number": "937-674-5668",
            "fax_number": "937-522-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 YALECREST DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454178353",
            "telephone_number": "937-674-5668",
            "fax_number": "937-522-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "TAMEKA",
        "middle_name": "DENISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN449811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tdenisejohnson14@gmail.com",
            "affiliation": "N",
            "address_1": "5027 Yalecrest Dr",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454178353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMEKA",
            "last_name": "JOHNSON",
            "middle_name": "D",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.