Individual provider Active NPI

Taquita Wimberly Johnson, APRN.CNP

  • Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1912343377
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CPN.0035169 Issued in OH
Practice address
8532 Mentor Ave
Mentor, OH 44060-5822
Phone
(216) 543-8484
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CPN.0035169 OH Primary

Addresses

Primary practice location

8532 Mentor Ave
Mentor, OH 44060-5822

Mailing address

4948 Karen Isle Dr
Richmond HTS, OH 44143-1413
Phone (216) 543-8484

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
I20251217001135 OH Practitioner - Nurse Practitioner 1254826332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rakesh Ranjan M.D. and Assoc., IncGroup PAC ID 6507895067, 22 clinicians

Practice addresses (Care Compare)

8532 Mentor Ave
Mentor, OH 44060-5822
Phone 21658767273402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CPN.0035169OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Nov 11, 2025 Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. CurrentSince Nov 11, 2025 Accepting new patients

Locations

12395 McCracken Rd
Ste A
Garfield Hts, OH 44125
Phone 21658767273402

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

8532 Mentor Ave
Mentor, OH 44060
Phone (440) 205-1008

Organizations & group practices 2

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1912343377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 KAREN ISLE DR",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431413",
            "telephone_number": "216-543-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605822",
            "telephone_number": "216-543-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY JOHNSON",
        "first_name": "TAQUITA",
        "credential": "APRN.CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CPN.0035169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.