Clover C Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

683034 Issued in TX

Practice address

2201 N Bedell Ave Ste a
Del Rio, TX 78840-8021

Phone

(830) 775-8700

Fax

(830) 775-8711

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4312/brand/1/csg/1/fhir/r4
• Direct secure messaging: clover.johnson.1@4312.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cadena Family Practice

  • Family Medicine Physician
  • Del Rio, TX
  • NPI 1649437559
  Medicare reassignment NPD
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1003635038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N BEDELL AVE STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408021",
            "telephone_number": "830-775-8700",
            "fax_number": "830-775-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N BEDELL AVE STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408021",
            "telephone_number": "830-775-8700",
            "fax_number": "830-775-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLOVER",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "683034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Hulen Hunt Jr., DDS
• Don Grant James Jr., DC
• Alfonso Jimenez III, PTA
• JJ Medical Supplies
• Jodi Ceballos, Psy.D., PLLC
• Jane Johnson, O.T.
• Jed Johnson, R.D. L.D.
• JSK Eyecare (Galo Eye Care Center)
• Ernest Eugene Juarez
• Mallory Jumps, PT, DPT, CSRS

• Family Nurse Practitioner in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.