Individual provider Active NPI

Courtney L. Johnson, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1215339684
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15941 Issued in OH
Practice address
1745 Morse Rd
Columbus, OH 43229-6501
Phone
(614) 405-9415
Fax
(614) 405-9416
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.15941 OH Primary

Addresses

Primary practice location

1745 Morse Rd
Columbus, OH 43229-6501

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

199 Graceland BLVD
Columbus, OH 43214-1529
Phone (614) 410-2814

Other names 1

  • Courtney L. Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141125001652 OH Practitioner - Nurse Practitioner 2769704907 Reassigns benefits to 1 organization
I20210405000616 VA Practitioner - Nurse Practitioner 2769704907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

3667 Marlane Dr
Grove City, OH 43123-8895
Phone (614) 627-1830

Hospital & facility affiliations

  • Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc CurrentSince Jun 6, 2022 Accepting new patients
Little Clinic of VA LLC Family CurrentSince Feb 1, 2021 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Jun 6, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3667 Marlane Dr
Grove City, OH 43123
Phone (614) 277-9631

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

10800 Iron Bridge Rd
Chester, VA 23831
Phone (804) 318-5580

7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541

9000 Staples Mill Rd
Richmond, VA 23228
Phone (804) 977-9515

Interoperability endpoints

  • Direct secure messaging: cjohnson1769781@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1215339684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296501",
            "telephone_number": "614-405-9415",
            "fax_number": "614-405-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Graceland BLVD",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141529",
            "country_code": "US",
            "telephone_number": "614-410-2814",
            "fax_number": "614-410-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COURTNEY",
        "middle_name": "L.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SMITH",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.