Tanisha A. Johnson-Jackson
NPI 1477218113ActiveIndividual· Nurse Practitioner· Centerville, OH
Nurse Practitioner in Centerville, Ohio, licensed in OH, with an NPI issued in November 2021.
Overview
| NPI | 1477218113 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 8, 2021 |
| Last updated in NPPES | Nov 16, 2021 |
| Certified by provider | Nov 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN.CNP.026724 | OH |
| Nurse Practitioner, Adult Health | 363LA2200X | APRN.CNP.026724 | OH |
| Nurse Practitioner, Gerontology | 363LG0600X | APRN.CNP.062724 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Centerville
- 1750833760
- 1497907042
- 1083171300
- 1790582500
- 1982633657
- 1265866362
- 1821029489
- 1902791676
- 1992005227
- 1124679576
- 1528780335
- 1700770070