Individual provider Active NPI

Dianne Caroline Johnson, APRN, FNP-C

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1801104773
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.11536 Issued in OH
Practice address
388 S Main St Ste 201
Akron, OH 44311-1035
Phone
(234) 200-2770
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.11536-NP OH
Family Nurse Practitioner 363LF0000X APRN.CNP.11536 OH Primary

Addresses

Primary practice location

388 S Main St Ste 201
Akron, OH 44311-1035

Mailing address

388 S Main St Ste 201
Akron, OH 44311-1035
Phone (234) 200-2770

Other practice location 1

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone (866) 849-0692

Other practice location 2

6975 W 130th St
Parma Heights, OH 44130-7821
Phone (440) 888-7487

Other practice location 3

16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300
Phone (440) 826-0500

Other practice location 4

100 Marshall St N Ste 2
Benwood, WV 26031-1041
Phone (304) 218-2300

Other practice location 5

751 Forest Ave
Suite 202
Zanesville, OH 43701-2868
Phone (740) 588-9120

Other identifiers 1

IdentifierTypeStateIssuer
3085049MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220818000750 OH Practitioner - Nurse Practitioner 5799973566 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.11536OHMDFamily Nurse Practitioner
COA.11536-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Nov 1, 2022 Accepting new patients
Vpa PC CurrentSince Nov 1, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Genesis Medical Group LLC Past Accepting new patients

Locations

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

Interoperability endpoints

  • Direct secure messaging: dianne.johnson.1@14940.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1801104773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST STE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111035",
            "telephone_number": "234-200-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST STE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111035",
            "telephone_number": "234-200-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Park East Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224318",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6975 W 130th St",
            "address_purpose": "LOCATION",
            "city": "Parma Heights",
            "state": "OH",
            "postal_code": "441307821",
            "country_code": "US",
            "telephone_number": "440-888-7487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 W Sprague Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441306300",
            "country_code": "US",
            "telephone_number": "440-826-0500",
            "fax_number": "440-826-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Marshall St N Ste 2",
            "address_purpose": "LOCATION",
            "city": "Benwood",
            "state": "WV",
            "postal_code": "260311041",
            "country_code": "US",
            "telephone_number": "304-218-2300",
            "fax_number": "304-218-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Forest Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012868",
            "country_code": "US",
            "telephone_number": "740-588-9120",
            "fax_number": "740-588-9140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DIANNE",
        "middle_name": "CAROLINE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11536-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.11536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.