Tonya Lee Johnson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Bisbee, AZ
NPI 1679825152 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1679825152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP8445 (AZ)
- Practice address
- 108 Arizona St
Bisbee, AZ 85603-1804 - Phone
- (520) 432-3309
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bisbee Hospital Association
Chiricahua Community Health Centers Inc
Practice addresses (Care Compare)
101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383
10566 N Hwy 191
Elfrida, AZ 85610-9021
Phone (520) 642-2222
108 Arizona St
Bisbee, AZ 85603-1804
Phone (520) 432-3309
1100 N F Ave
Douglas, AZ 85607-1919
Phone (502) 364-3285
335 S Ocotillo Ave
Benson, AZ 85602-6406
Phone (520) 864-4040
Hospital & facility affiliations
- Copper Queen Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160725001700 | AZ | Practitioner - Nurse Practitioner | 7214152206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8445 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Partners Integrated Healthcare, Inc. | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc. | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Past | Accepting new patients | |
| Metcare of Florida, Inc | Past | Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
310 Arizona St
Bisbee, AZ 85603
Phone (520) 432-1145
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000
301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
155 Calle Portal
Ste 100
Sierra Vista, AZ 85635
Phone (520) 459-3012
5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701
251 W Rex Allen Dr
Willcox, AZ 85643
2545 S Arizona Ave
Bldg A
Yuma, AZ 85364
Interoperability endpoints
- tonya.johnson.p1@direct.cchci.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP8445 | AZ | Yes |
Addresses
Primary practice location
108 Arizona St
Bisbee, AZ 85603-1804
Mailing address
155 Calle Portal
Suite 100
Sierra Vista, AZ 85635-2900
Phone (520) 459-3012
Other providers in Bisbee, AZ
- Gilberto Humar
- Christopher Milo Johnson
- Dana Sue Johnson
- Lisa E Johnson
- Matthew J Johnson
- Derrick Thor Johnston
- Kathleen Mary Jones
- A'Nna Jurich
- Juliet Elizabeth Caudle Kihl
- Jill Marie Killeen
All providers in Bisbee, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.