Active NPI
Johna Ann Radford, FNP-BC
- Family Nurse Practitioner
- Elkhart, IN
National Provider Identifier
1982247540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28147796A
- Practice address
- 500 Arcade Ave Ste 320
Elkhart, IN 46514-2485 - Phone
- (574) 523-7900
- Fax
- (574) 523-7909
- NPI assigned
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28147796A | IN | Primary |
Addresses
Primary practice location
500 Arcade Ave Ste 320
Elkhart, IN 46514-2485
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone (574) 647-5875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300131287 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1982247540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ARCADE AVE STE 320",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142485",
"telephone_number": "574-523-7900",
"fax_number": "574-523-7909"
}
],
"practiceLocations": [
{
"address_1": "621 Memorial Dr Ste 502",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011075",
"country_code": "US",
"telephone_number": "574-647-5875",
"fax_number": "574-647-5878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADFORD",
"first_name": "JOHNA",
"middle_name": "ANN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28147796A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300131287",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.