Individual provider Active NPI

Tonya L Johnson-Gilliam, APRN, FNP-C

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1538726328
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.023597 Issued in OH
Practice address
985 W 3Rd Ave
Columbus, OH 43212-3109
Phone
(614) 291-0022
Fax
(614) 291-6687
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.256080 OH
Family Medicine Physician 207Q00000X APRN.CNP.023597 OH Primary

Addresses

Primary practice location

985 W 3Rd Ave
Columbus, OH 43212-3109

Mailing address

985 W 3Rd Ave
Columbus, OH 43212-3109
Phone (614) 291-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.256080OHMDRegistered Nurse
APRN.CNP.023597OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1538726328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123109",
            "telephone_number": "614-291-0022",
            "fax_number": "614-291-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123109",
            "telephone_number": "614-291-0022",
            "fax_number": "614-291-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-GILLIAM",
        "first_name": "TONYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.256080",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.023597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.