Individual provider Active NPI

Tawny Wilson, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1437846185
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0036417 Issued in OH
Practice address
2123 Auburn Ave Ste 723
Cincinnati, OH 45219-2906
Phone
(513) 585-3275
Fax
(513) 978-5806
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3017849 KY
Family Nurse Practitioner 363LF0000X 0036417 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 723
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave Ste 723
Cincinnati, OH 45219-2906
Phone (513) 585-3275

Other names 1

  • Tawny Bjurquist Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20240626002600 KY Practitioner - Nurse Practitioner 8426592817 Reassigns benefits to 1 organization
I20240627002012 OH Practitioner - Nurse Practitioner 8426592817 Reassigns benefits to 1 organization

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
Christ Hospital Medical Specialists II, LLCGroup PAC ID 9234397241, 31 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017849KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists II, LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 21, 2024 Accepting new patients
Christ Hospital Orthopedic Associates III LLC Nurse Practitioner PastSince Jun 9, 2024 Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

2139 Auburn Ave
#49
Cincinnati, OH 45219

2123 Auburn Ave
Ste 723
Cincinnati, OH 45219
Phone (513) 585-3275

2123 Auburn Ave
Cincinnati, OH 45219
Phone (513) 721-7373

6939 Cox Rd
Ste 350
Liberty Township, OH 45069
Phone (513) 564-1600

608 Reading Rd
Mason, OH 45040
Phone (513) 229-8908

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

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 1

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1437846185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 723",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-3275",
            "fax_number": "513-978-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 723",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-3275",
            "fax_number": "513-978-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TAWNY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNY",
            "last_name": "BJURQUIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.