Active NPI
Tina Marie Johnson
- Registered Nurse
- Saint Marys, OH
National Provider Identifier
1609699594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.379954
- Practice address
- 720 Armstrong St
Saint Marys, OH 45885-1800 - Phone
- (419) 300-7630
- Fax
- (567) 698-7863
- NPI assigned
- Nov 7, 2024
- Last updated
- Feb 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.379954 | OH | Primary |
Addresses
Primary practice location
720 Armstrong St
Saint Marys, OH 45885-1800
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Phone (330) 673-1347
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.379954 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1609699594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5982 RHODES RD",
"city": "KENT",
"state": "OH",
"postal_code": "442408100",
"telephone_number": "330-673-1347",
"fax_number": "330-678-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ARMSTRONG ST",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458851800",
"telephone_number": "419-300-7630",
"fax_number": "567-698-7863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.379954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, OH
- Sandra Hunter
- Indiana Leasing Co., LLC (Grande Lake Healthcare Center)
- Indiana Leasing Co., LLC (Grande Lake Healthcare Center)
- Keith David Jacobs, PHARMD
- John M. Price OD, Inc. (St. Marys Family Eye Care)
- Joint Township District Memorial Hospital
- Joint Township District Memorial Hospital (Grand Lake Hospice)
- Joint Township District Memorial Hospital (GLHS Inpatient Psychiatric Services)
- Joint Township District Memorial Hospital
- Joint Township District Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.