Active NPI
Sonda Rena Johnson, NP
- Nurse Practitioner
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.015355
- Practice address
- 3909A N Belt W
Belleville, IL 62226-5607 - Phone
- (618) 746-1142
- Fax
- (618) 737-0080
- NPI assigned
- Jun 13, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.015355 | IL | Primary |
Addresses
Primary practice location
3909A N Belt W
Belleville, IL 62226-5607
Mailing address
3909A N Belt W
Belleville, IL 62226-5607
Phone (618) 746-1142
Other practice location 1
56 S 65th St Ste 6
Belleville, IL 62223-2945
Phone (618) 746-1142
Other practice location 2
159 E McArthur Dr
Bethalto, IL 62010-1918
Phone (618) 258-7504
Other practice location 3
108 W US Highway 40
Troy, IL 62294-1836
Phone (618) 667-1800
Other practice location 4
17 Ginger Creek Mdws
Glen Carbon, IL 62034-3508
Phone (618) 656-9777
Other practice location 5
1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273
Other practice location 6
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3909 N Belt W
Belleville, IL 62226-5607
Phone (618) 746-1142
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.015355 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Renees Solution Services | Current | Accepting new patients | |
| Ahs Il Medical Group LLC | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
3909 N Belt W
Belleville, IL 62226
Phone (618) 746-1142
3909 N Belt W
#A
Belleville, IL 62226
Phone (618) 236-0900
56 S 65th St
Ste 6
Belleville, IL 62223
Phone (618) 746-1142
1000 Eleven S
Ste 1A
Columbia, IL 62236
Phone (618) 281-8400
4273 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-2297
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- sjohn594@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Clinic/Center
- Granite City, IL
- NPI 1659098101
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IL, Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1679003628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909A N BELT W",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265607",
"telephone_number": "618-746-1142",
"fax_number": "618-737-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909A N BELT W",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265607",
"telephone_number": "618-746-1142",
"fax_number": "618-737-0080"
}
],
"practiceLocations": [
{
"address_1": "56 S 65th St Ste 6",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622232945",
"country_code": "US",
"telephone_number": "618-746-1142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "159 E McArthur Dr",
"address_purpose": "LOCATION",
"city": "Bethalto",
"state": "IL",
"postal_code": "620101918",
"country_code": "US",
"telephone_number": "618-258-7504",
"fax_number": "618-258-7542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 W US Highway 40",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "IL",
"postal_code": "622941836",
"country_code": "US",
"telephone_number": "618-667-1800",
"fax_number": "618-667-1802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Ginger Creek Mdws",
"address_purpose": "LOCATION",
"city": "Glen Carbon",
"state": "IL",
"postal_code": "620343508",
"country_code": "US",
"telephone_number": "618-656-9777",
"fax_number": "618-656-1249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1103 Belt Line Rd",
"address_purpose": "LOCATION",
"city": "Collinsville",
"state": "IL",
"postal_code": "622344368",
"country_code": "US",
"telephone_number": "618-344-2273",
"fax_number": "618-344-3034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6800 State Route 162",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "IL",
"postal_code": "620628500",
"country_code": "US",
"telephone_number": "618-288-5711",
"fax_number": "618-288-4088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SONDA",
"middle_name": "RENA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.015355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.