Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamica Titanya Johnson

Individual provider Gerontology Nurse Practitioner · NPI 1891449013

Tamica Titanya Johnson is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2021, 5 years ago. Practices with Complete Health Care Services PA, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
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Practice location Address checks out

12000 Wornall Rd
Kansas City, MO 64145-1117
Phone: (816) 941-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2021043562 (MO)

Record details

NPI number1891449013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2022
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Complete Health Care Services Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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