Tamera Lee Johnson-Roy, R.N., C.N.S.

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

04494-NS Issued in OH

Practice address

1905 Parsons Ave
Columbus, OH 43207-1933

Phone

(614) 586-4159

Fax

(614) 586-4252

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Tamera Lee Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

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.

• Self-Employed NP Development Co., LLC

  • Nurse Practitioner
  • Gahanna, OH
  • NPI 1588832356
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1396090239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-859-1906",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071933",
            "telephone_number": "614-586-4159",
            "fax_number": "614-586-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432031762",
            "country_code": "US",
            "telephone_number": "614-252-4931 x281",
            "fax_number": "614-252-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-ROY",
        "first_name": "TAMERA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "R.N., C.N.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704136194",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MI",
            "license": "4704136194",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "OH",
            "license": "04494-NS",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "04494-NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMERA",
            "last_name": "JOHNSON",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "R.N., C.N.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Renee Johnson-Jackson, CDCA
• Adele L Johnson-Moore, MSW, LICDC
• Kimberly A. Johnson-Neely
• Kamani Saniyya Johnson-O'Neal
• Pasha Johnson-Rivers
• Willa Mae Johnson-Thurman, CDCA
• Aeliza Johnson
• Airreana Johnson
• Aishia Johnson
• Alexandrea Johnson

• Gerontology Clinical Nurse Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Gerontology Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.