Tina M Johnson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F334061 Issued in NY

Practice address

1 Court SQ
WK STN 20-089
Long Island City, NY 11120-0001

Phone

(347) 957-1252

Fax

(347) 396-4360

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: tina.johnson.1@24989.direct.athenahealth.com
• Direct secure messaging: tina.johnson.1@27852.direct.athenahealth.com

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1851496046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COURT SQ",
            "address_2": "WK STN 20-089",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111200001",
            "telephone_number": "347-957-1252",
            "fax_number": "347-396-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COURT SQ",
            "address_2": "WK STN 20-089",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111200001",
            "telephone_number": "347-957-1252",
            "fax_number": "347-396-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F334061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03627929",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ekaete John-Omotosho
• Blessen John, PA-C
• Praisy John, MS, FNP-BC, BS, RN
• Lishaun D Johnson, RN
• Terrina Alexandria Johnson
• Wrenelle Johnson, M.A., CCC-SLP
• Nalrudee Johnston
• Kimberly M Jolie, RN
• Antoinette Jones-Perrin, LCSW
• Dejah Danielle Jones-Tench

• Nurse Practitioner in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.