Individual provider Active NPI

Satora Johnson, ASN,BSN, FNP-BC

  • Family Nurse Practitioner
  • Warren, OH
National Provider Identifier
1588397798
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0031526 Issued in OH
Practice address
1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone
(330) 856-7702
Fax
(330) 856-7704
NPI assigned
Jul 5, 2022
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 0031526 OH Primary

Addresses

Primary practice location

1932 Niles Cortland Rd NE
Warren, OH 44484-1055

Mailing address

1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone (330) 856-7702

Other practice location 1

605 E Ohio Ave
Sebring, OH 44672-1643
Phone (330) 537-4661

Other practice location 2

564 E 2nd St
Salem, OH 44460-2914
Phone (234) 567-8150

Other practice location 3

9471 Market St Ste A
North Lima, OH 44452-8702
Phone (330) 726-7100

Other practice location 4

107 Royal Birkdale Dr Ste A
Columbiana, OH 44408-8493
Phone (330) 482-9350

Other practice location 5

4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-7667

Other practice location 6

5533 Mahoning Ave Fl 2
Austintown, OH 44515-2366
Phone (330) 793-2707

Other practice location 7

330 Wick Ave
Youngstown, OH 44503-1002
Phone (330) 747-4660

Other identifiers 1

IdentifierTypeStateIssuer
0003889MedicaidOH

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
I20221115001865 OH Practitioner - Nurse Practitioner 7719355270 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0031526OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC CurrentSince Oct 14, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 14, 2022 Accepting new patients

Locations

61 Talsman Dr
Canfield, OH 44406
Phone (330) 533-2218

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

564 E 2nd St
Salem, OH 44460
Phone (234) 567-8150

605 E Ohio Ave
Sebring, OH 44672
Phone (330) 537-4661

1932 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 306-5300

627 Eastland Ave SE
Ste 201
Warren, OH 44484
Phone (330) 392-3099

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

330 Wick Ave
Youngstown, OH 44503
Phone (330) 747-4660

4694 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-7655

5533 Mahoning Ave
Fl 2
Youngstown, OH 44515
Phone (330) 480-3533

Interoperability endpoints

  • Direct secure messaging: sjohnson274682@direct.bsmhealth.org

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, 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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1588397798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "330-856-7702",
            "fax_number": "330-856-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "330-856-7702",
            "fax_number": "330-856-7704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 E Ohio Ave",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "OH",
            "postal_code": "446721643",
            "country_code": "US",
            "telephone_number": "330-537-4661",
            "fax_number": "330-537-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602914",
            "country_code": "US",
            "telephone_number": "234-567-8150",
            "fax_number": "234-567-8189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9471 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Royal Birkdale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088493",
            "country_code": "US",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4694 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051012",
            "country_code": "US",
            "telephone_number": "330-480-7667",
            "fax_number": "330-759-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5533 Mahoning Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152366",
            "country_code": "US",
            "telephone_number": "330-793-2707",
            "fax_number": "330-793-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Wick Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445031002",
            "country_code": "US",
            "telephone_number": "330-747-4660",
            "fax_number": "330-747-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SATORA",
        "credential": "ASN,BSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.