Individual provider Active NPI

Johannie Margarita Torres, FNP

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1467437384
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704200103 Issued in MI
Practice address
3271 Clear Vista CT NE
Grand Rapids, MI 49525-9477
Phone
(616) 267-7125
NPI assigned
Dec 14, 2005
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704200103 MI Primary

Addresses

Primary practice location

3271 Clear Vista CT NE
Grand Rapids, MI 49525-9477

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names 1

  • Miss Johannie M Troncoso Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtorres9889@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080604000689 MI Practitioner - Nurse Practitioner 5395700868 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704200103MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners CurrentSince May 5, 2008 Accepting new patients
Pennock Hospital Nurse Practitioner CurrentSince Jul 31, 2019 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince May 5, 2008 Accepting new patients
Pennock Hospital CurrentSince Jul 31, 2019 Accepting new patients

Locations

7128 Fulton St E
Ada, MI 49301
Phone (616) 825-3530

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

3271 Clear Vista Ct NE
Grand Rapids, MI 49525
Phone (616) 267-7125

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4075 32nd Ave
Hudsonville, MI 49426
Phone (616) 229-9310

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

4600 Breton Rd SE
Ste 102
Kentwood, MI 49508
Phone (616) 356-4161

2111 12 Mile Rd NW
Sparta, MI 49345
Phone (616) 391-8470

Interoperability endpoints

  • Direct secure messaging: jtorres9889@epic00.corewelldirect.org

Ownership & related parties

All facility ownership & control disclosures 42

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Greenville HospitalGreenville, MI, CCN 230035 Hospital Corporate Director Aug 18, 2020
Corewell Health Ludington HospitalLudington, MI, CCN 230110 Hospital Corporate Director Aug 18, 2020
Corewell Health Zeeland HospitalZeeland, MI, CCN 230003 Hospital Corporate Director Aug 18, 2020
Corewell Health Big Rapids HospitalBig Rapids, MI, CCN 230093 Hospital Corporate Director Aug 18, 2020
Corewell Health Grand Rapids HospitalsGrand Rapids, MI, CCN 230038 Hospital Corporate Director Aug 18, 2020
Corewell Health Reed City HospitalReed City, MI, CCN 23Z323 Hospital Corporate Director Aug 18, 2020
Corewell Health Reed City HospitalReed City, MI, CCN 231323 Hospital Corporate Director Aug 18, 2020
Corewell Health Grand Rapids Hospitals Rehabilitation UnitGrand Rapids, MI, CCN 23T038 Hospital Corporate Director Aug 18, 2020
Corewell Health Gerber HospitalFremont, MI, CCN 231338 Hospital Corporate Director Aug 18, 2020
Corewell Health Pennock HospitalHastings, MI, CCN 231339 Hospital Corporate Director Aug 18, 2020
Corewell Health Greenville Hospital Rehabilitation & Nursing CenterGreenville, MI, CCN 235143 Skilled nursing facility Corporate Director Aug 18, 2020
Corewell Health Rehabilitation & Nursing Center - KentridgeGrand Rapids, MI, CCN 235035 Skilled nursing facility Corporate Director Aug 18, 2020
Corewell Health Reed City Hosp Rehab & NSG CtrReed City, MI, CCN 235205 Skilled nursing facility Corporate Director Aug 18, 2020
Corewell Health Grand Rapids Hospitals Rehabilitation & Nursing CenterGrand Rapids, MI, CCN 235075 Skilled nursing facility Corporate Director Mar 12, 2020
Corewell Health Rehabilitation & Nursing Center - LeffingwellGrand Rapids, MI, CCN 235731 Skilled nursing facility Corporate Director Mar 12, 2020
Corewell Health Visiting Nurse AssociationGrand Rapids, MI, CCN 237007 Home health agency Corporate Director Aug 18, 2020
Corewell Health Hospice & Palliative Care West MichiganGrand Rapids, MI, CCN 231544 Hospice Corporate Director Aug 18, 2020
Corewell Health Reed City Hospital Family MedicineReed City, MI, CCN 238504 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Gerber Hospital Pediatrics & Walk-in Clinic-FremontFremont, MI, CCN 238632 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Gerber Hospital Obstetrics and GynecologyFremont, MI, CCN 238636 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Big Rapids Hospital Family Medicine-215TH AveBig Rapids, MI, CCN 238652 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Greenville Hospital Multispecialty Center-Oak StGreenville, MI, CCN 238648 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Big Rapids Hospital Family Medicine-Canadian LakesStanwood, MI, CCN 238667 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Greenville Hospital Family Medicine-BeldingBelding, MI, CCN 238668 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Greenville Hospital Multispecialty Center-LakeviewLakeview, MI, CCN 238647 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Ludington Hospital Family Medicine-HartHart, MI, CCN 238676 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Big Rapids Hospital Obstetrics, Gynecology & UrologyBig Rapids, MI, CCN 238677 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Gerber Hospital Family Medicine-NewaygoNewaygo, MI, CCN 238685 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Gerber Hospital Multispecialty Clinic-FremontFremont, MI, CCN 238684 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Ludington Hospital Primary Care-LawndaleLudington, MI, CCN 238683 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Greenville Hospital Multispecialty Center-707 S GreenvGreenville, MI, CCN 238691 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Ludington Hospital Multispecialty Center-AtkinsonLudington, MI, CCN 238696 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Ludington Hospital PediatricsLudington, MI, CCN 238702 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Pennock Hospital Family Medicine-MiddlevilleMiddleville, MI, CCN 238703 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Pennock Hospital Family Medicine-Gun LakeWayland, MI, CCN 238701 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Pennock Hospital Multispecialty Center-Green StHastings, MI, CCN 238697 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Pennock Hospital Family Medicine-State StHastings, MI, CCN 238700 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Pennock Hospital Family Medicine-Lake OdessaLake Odessa, MI, CCN 238675 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Ludington Hospital Family Medicine-HesperiaHesperia, MI, CCN 233990 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Big Rapids Hospital Family Medicine-EvartEvart, MI, CCN 238594 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Ludington Hospital Family Medicine-GrantGrant, MI, CCN 238572 Rural health clinic Corporate Director Aug 18, 2020
Corewell Health Greenville Hospital Multispecialty Center-IoniaIonia, MI, CCN 238679 Rural health clinic Corporate Director Mar 12, 2020

Owned or controlled facilities with NPI records 42

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 42

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1467437384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 CLEAR VISTA CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259477",
            "telephone_number": "616-267-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JOHANNIE",
        "middle_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704200103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtorres9889@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "4600 Breton Rd SE",
            "address_2": "Suite 102",
            "city": "Kentwood",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495085262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3271 Clear Vista Ct NE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495259477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOHANNIE",
            "last_name": "TRONCOSO",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.