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
- 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 and National Provider Directory roles.
-
- Neurology Physician
- Cincinnati, OH
- NPI 1912929589
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.