Individual provider Active NPI

Tonya Lee Johnson, FNP-C

  • Family Nurse Practitioner
  • Bisbee, AZ
National Provider Identifier
1679825152
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8445 Issued in AZ
Practice address
108 Arizona St
Bisbee, AZ 85603-1804
Phone
(520) 432-3309
NPI assigned
Oct 9, 2012
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8445 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725001700 AZ Practitioner - Nurse Practitioner 7214152206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, shared by 4 NPIs, 69 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiricahua Community Health Centers, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Chiricahua Community Health Centers, Inc CurrentSince Jun 13, 2016 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

1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860

1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437

815 E 15th 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 100
Sierra Vista, AZ 85635
Phone (520) 459-3012

155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331

155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203

2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560

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

  • Direct secure messaging: tonya.johnson.p1@direct.cchci.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1679825152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL",
            "address_2": "SUITE 100",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352900",
            "telephone_number": "520-459-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ARIZONA ST",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031804",
            "telephone_number": "520-432-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TONYA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bisbee, AZ

Sources for this page

Verify at the official NPI Registry.