RAE-ANNA JOHNSON FNP-C NPI 1366012064

NPI Information

NPI: 1366012064
Provider Name: RAE-ANNA JOHNSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
355 E CAMPUS VIEW BLVD STE 180
COLUMBUS, OH
ZIP 43235
Phone: (614) 840-1688
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Rae-anna Johnson, FNP-C is a family nurse practitioner in Columbus, OH with 2 years of experience. Rae-anna Johnson, FNP-C NPI is 1366012064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

355 E CAMPUS VIEW BLVD STE 180
COLUMBUS, OH
ZIP 43235-680
Phone: (614) 840-1688

The NPI 1366012064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2021 and was last updated on 4/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		485459	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0031434	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0493909	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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