Individual provider Active NPI

Danyell Johnson, ANP

  • Adult Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1447256532
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP08330 Issued in OH
Practice address
1000 Regency Court
Toledo, OH 43623-3074
Phone
(419) 479-2665
Fax
(419) 479-2639
NPI assigned
Jun 23, 2005
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP08330 OH Primary

Addresses

Primary practice location

1000 Regency Court
Toledo, OH 43623-3074

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327

Other identifiers 1

IdentifierTypeStateIssuer
2643474MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051103000534 OH Practitioner - Nurse Practitioner 1759309297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

4345 Secor Rd
Toledo, OH 43623-4233
Phone (419) 479-5777

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (419) 373-7696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP08330OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Oct 31, 2020 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Aug 1, 2015 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Aug 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

4345 Secor Rd
Toledo, OH 43623
Phone (419) 469-6884

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

Interoperability endpoints

  • Direct secure messaging: danyell.johnson@toledoclinic.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1447256532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5327",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REGENCY COURT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-479-2665",
            "fax_number": "419-479-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANYELL",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP08330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2643474",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.