Individual provider Active NPI

Johnna Diane Tunnyhill, NP-C

  • Family Nurse Practitioner
  • Nespelem, WA
National Provider Identifier
1245901701
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61176303 Issued in WA
Practice address
19 Lakes Avenue
Nespelem, WA 99155
Phone
(509) 634-2913
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 AP61176303 WA Primary

Addresses

Primary practice location

19 Lakes Avenue
Nespelem, WA 99155

Mailing address

1018 E 15TH Ave
Spokane, WA 99203-3502
Phone (206) 909-6559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211209000038 TX Practitioner - Nurse Practitioner 0547650467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Picuris Health CenterGroup PAC ID 5193638245, 8 clinicians

Practice addresses (Care Compare)

PO Box
Suite 1946
Taos, NM 87571-1946
Phone (575) 758-6966

Hospital & facility affiliations

  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61176303WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Colville Service Unit CurrentSince Oct 12, 2021 Accepting new patients
Omak Tribal Health Clinic CurrentSince Oct 12, 2021 Accepting new patients
Taos Picuris Health Center CurrentSince Aug 9, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

617 Benton St
Omak, WA 98841
Phone (509) 422-7416

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 2

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1245901701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 E 15TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033502",
            "telephone_number": "206-909-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAKES AVENUE",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "99155",
            "telephone_number": "509-634-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNYHILL",
        "first_name": "JOHNNA",
        "middle_name": "DIANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61176303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nespelem, WA

Sources for this page

Verify at the official NPI Registry.