Individual provider Active NPI

Farsha Detre Johnson

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1447913900
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0030014 Issued in OH
Practice address
3310 Mercy Health Blvd Ste 110
Cincinnati, OH 45211-1121
Phone
(513) 215-5030
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0030014 OH
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X APRN.CNP.0030014 OH Primary

Addresses

Primary practice location

3310 Mercy Health Blvd Ste 110
Cincinnati, OH 45211-1121

Mailing address

3310 Mercy Health Blvd Ste 110
Cincinnati, OH 45211-1121
Phone (513) 215-5030

Other practice location 1

200 Public Sq Ste 2300
Cleveland, OH 44114-2309
Phone (513) 560-0787

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
I20211207000155 OH Practitioner - Nurse Practitioner 6406246495 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Multi-Specialty CurrentSince Apr 21, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Apr 21, 2024 Accepting new patients
Mercy Health Urgent Care LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC Multi-Specialty CurrentSince Oct 12, 2021 Accepting new patients
Consonant Healing Medical Associates Multi-Specialty PastSince Oct 12, 2021 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

3310 Mercy Health Blvd
Ste 110
Cincinnati, OH 45211
Phone (513) 215-5030

315 Lilienthal St
Cincinnati, OH 45204
Phone (513) 244-1506

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

6020 S State Route 48
Maineville, OH 45039
Phone (513) 853-8800

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

Interoperability endpoints

  • Direct secure messaging: fjohnson2547547@direct.bsmhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 5

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1447913900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MERCY HEALTH BLVD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111121",
            "telephone_number": "513-215-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MERCY HEALTH BLVD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111121",
            "telephone_number": "513-215-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Public Sq Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142309",
            "country_code": "US",
            "telephone_number": "513-560-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FARSHA",
        "middle_name": "DETRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0030014",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0030014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.