Tiffany Jo Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021492 Issued in NC

Practice address

2855 S Church St
Burlington, NC 27215-5168

Phone

(336) 395-8181

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.johnson@701550958346244.direct.elationemr.com

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.

• The Well Dispensary, LLC

  • Clinic Pharmacy
  • Burlington, NC
  • NPI 1992514269
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1679383392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OLD CHARLESTON DR",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449265",
            "telephone_number": "336-269-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155168",
            "telephone_number": "336-395-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Randolph Johnson, FNP
• Lexus Jade Johnson, BCBA, LBA, MS
• Morgan Blair Johnson, PT
• Naomi Johnson, LCAS-A
• Stephanie R. Johnson, PLCSW
• John D Johnston, MD
• Caitlin Ann Jones, COTA/L
• Caroline Courtney Dyer Jones, LCAS NC #21483
• Caron W Jones, CNM
• David Sheldon Jones, CRNA

• Family Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.