Tiesha Johnson, PMHNP
NPI 1104082346 · Psychiatric/Mental Health Nurse Practitioner · Utica, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiesha Johnson, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Utica, NY (NPI 1104082346).
Provider details
- NPI number
- 1104082346
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 401131 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 444 Butterfly Gardens DrColumbus, OH 43215-3427Phone: (614) 938-0167Fax: (614) 938-0170
- 700 Childrens DrColumbus, OH 43205-2639Phone: (614) 722-4545Fax: (614) 722-4575
Registry dates
- Enumerated
- 2008-08-06
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Tiesha Johnson's NPI number?
- Tiesha Johnson's National Provider Identifier (NPI) is 1104082346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiesha Johnson's specialty?
- Tiesha Johnson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tiesha Johnson located?
- Tiesha Johnson's practice location on file with NPPES is 1676 Sunset Ave, Utica, NY 13502-5416.
- What is Tiesha Johnson's phone number?
- The practice phone number listed in the NPPES registry for Tiesha Johnson is (315) 624-4801.
- Does Tiesha Johnson accept Medicare?
- Tiesha Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tiesha Johnson's NPI active?
- Yes — Tiesha Johnson's NPI (1104082346) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.