Active NPIIndividual provider

Ms. Tanisha Johnson, LPN

Licensed Practical Nurse in New Haven, Connecticut

NPI Number1316360134
Practice location
495 Congress Ave, New Haven, CT 06519-1312
Fax
203-781-4624
Last updated
January 30, 2014

Tanisha Johnson is a Licensed Practical Nurse based in New Haven, CT. Tanisha Johnson practices in New Haven, CT and has the professional credentials of LPN. The NPI Number for Tanisha Johnson is 1316360134 and holds a License No. 33133 (CT). The current practice location address for Tanisha Johnson is 495 Congress Ave, New Haven, CT 06519-1312 and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Provider Profile Details

NPI Number
1316360134
Provider Name
Tanisha Johnson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
495 Congress Ave, New Haven, CT 06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2014
Last Update Date
January 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
495 Congress Ave
New Haven, CT 06519-1312
Zip
06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
New Haven, CT 06519Get directions →

Provider Business Mailing Address Details

Address
1 Long Wharf Dr
New Haven, CT 06511-5991
City
New Haven
State
CT
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624

License Information

License Number
33133
License State
CT
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Tanisha Johnson, LPN?

The NPI number of Ms. Tanisha Johnson, LPN is 1316360134. It was assigned on January 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Tanisha Johnson, LPN?

Ms. Tanisha Johnson, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in CT under license number 33133.

Where does Ms. Tanisha Johnson, LPN practice?

The practice location is 495 Congress Ave, New Haven, CT 06519-1312. The office can be reached at 203-781-4600 (phone) or 203-781-4624 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316360134 directly on the NPPES registry website.

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