Healthcare Provider Details

I. General information

NPI: 1316872914
Provider Name (Legal Business Name): KAMANI SANIYYA JOHNSON-O'NEAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 WOODCREST RD
COLUMBUS OH
43232-2757
US

IV. Provider business mailing address

1724 WOODCREST RD
COLUMBUS OH
43232-2757
US

V. Phone/Fax

Practice location:
  • Phone: 614-440-7813
  • Fax: 614-440-7813
Mailing address:
  • Phone: 614-440-7813
  • Fax: 614-440-7813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: