Tinesha Chanae Johnson
Nurse Practitioner, Family in Las Vegas, NV. Individual provider (NPI-1).
NPI number1831698166
StatusActive
Last updated in NPPESMar 5, 2018
Details
- NPI
- 1831698166
- Entity type
- Individual (NPI-1)
- Name
- Tinesha Chanae Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2018
- Last updated
- Mar 5, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN002847 | NV | Yes |
Practice location
8116 Las Vegas Blvd SLas Vegas, NV 89123-1015
Phone 702-407-7063
Mailing address
8116 Las Vegas Blvd SLas Vegas, NV 89123-1015
Phone 702-407-7063
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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