Active NPI
Gwen S Johnson, MSN, RN, NPC
- Family Nurse Practitioner
- Batavia, OH
National Provider Identifier
1619904935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRNCNP05049
- Practice address
- 3000 Hospital Dr Ste 130
Batavia, OH 45103-1921 - Phone
- (513) 735-8924
- Fax
- (513) 735-1740
- NPI assigned
- Jun 26, 2006
- Last updated
- Feb 8, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRNCNP05049 | OH | Primary |
Addresses
Primary practice location
3000 Hospital Dr Ste 130
Batavia, OH 45103-1921
Mailing address
7562 Trailwind Dr
Montgomery, OH 45242-5954
Phone (513) 615-8374
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRNCNP05049 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Neurology Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1619904935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7562 TRAILWIND DR",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452425954",
"telephone_number": "513-615-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HOSPITAL DR STE 130",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451031921",
"telephone_number": "513-735-8924",
"fax_number": "513-735-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GWEN",
"middle_name": "S",
"credential": "MSN, RN, NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRNCNP05049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.