Individual provider Active NPI

Johanna Claudine Degenova, RN

  • Registered Nurse
  • Circleville, OH
National Provider Identifier
1306615547
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.393020 Issued in OH
Practice address
24865 US Highway 23 S Ste a
Circleville, OH 43113-9189
Phone
(614) 219-9394
NPI assigned
Dec 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 RN.393020 OH Primary

Addresses

Primary practice location

24865 US Highway 23 S Ste a
Circleville, OH 43113-9189

Mailing address

24865 US Highway 23 S Ste a
Circleville, OH 43113-9189
Phone (614) 219-9394

Other practice location 1

1612 Lancaster Ave
Reynoldsburg, OH 43068-2639
Phone (614) 219-9394

Other practice location 2

586 W Main St
Wilmington, OH 45177-2123
Phone (614) 219-9394

Other practice location 3

321 E Court St
Washington Court House, OH 43160-1401
Phone (614) 219-9394

Other practice location 4

165 W Center St Ste 304
Marion, OH 43302-3742
Phone (614) 219-9394

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
RN.393020OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1306615547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24865 US HIGHWAY 23 S STE A",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139189",
            "telephone_number": "614-219-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 US HIGHWAY 23 S STE A",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139189",
            "telephone_number": "614-219-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430682639",
            "country_code": "US",
            "telephone_number": "614-219-9394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "586 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772123",
            "country_code": "US",
            "telephone_number": "614-219-9394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Court St",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601401",
            "country_code": "US",
            "telephone_number": "614-219-9394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 W Center St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433023742",
            "country_code": "US",
            "telephone_number": "614-219-9394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGENOVA",
        "first_name": "JOHANNA",
        "middle_name": "CLAUDINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.393020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.