Tamika Johnson, MA, ECG TECH,DIRECTO
Individual provider Active NPI Nurse's Aide · Cinn, OH
NPI 1346485232 · NPPES record last updated Dec 8, 2008
Key facts
- NPI
- 1346485232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 1706305 (OH)
- Practice address
- 1634 Central Parkway
Cinn, OH 45202-6904 - Phone
- (513) 362-2700
- Fax
- (513) 784-0812
- NPI assigned
- Dec 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1706305 | OH | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1706305 | OH | Yes |
Addresses
Primary practice location
1634 Central Parkway
Cinn, OH 45202-6904
Mailing address
1634 Central Pkwy
115
Cincinnati, OH 45202-6904
Phone (513) 362-2700
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.